Organization Active NPI

Burke D. Martin, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1437318391
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5141T Issued in TX
Legal business name
BURKE D. MARTIN, OD
Doing business as
Round Rock Eye Doctors
Practice address
2701 S I H 35
Round Rock, TX 78664-7320
Phone
(512) 388-2600
Fax
(512) 388-0854
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynne K. Martin
Title
Optometrist/Bookkeeper
Phone
(512) 785-0624

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5141T TX Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 5141T TX
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X 5141T TX

Addresses

Primary practice location

2701 S I H 35
Round Rock, TX 78664-7320

Mailing address

1308 Arronimink Cir
Austin, TX 78746-6303
Phone (512) 785-0624

Other identifiers 8

IdentifierTypeStateIssuer
64765OtherTXSAFEGUARD
49292 & 47839OtherTXDAVIS VISION
019327801MedicaidTX
020635 & 024923OtherTXBLOCK VISION (CHIP AND AMERIGROUP)
13860 & 35403OtherTXAVESIS
2600OtherTXMEDICAL EYE SERVICE
19973 & 26903OtherTXSPECTERA
550475 &545480OtherTXNATIONAL VISION ADMINISTRATORS

Other names 1

  • Round Rock Eye Doctors Doing business as

National Provider Directory

National Provider Directory

Locations

2701 S Interstate 35
#D
Round Rock, TX 78664
Phone (512) 388-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1437318391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ARRONIMINK CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466303",
            "telephone_number": "512-785-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S I H 35",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647320",
            "telephone_number": "512-388-2600",
            "fax_number": "512-388-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE D. MARTIN, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST/BOOKKEEPER",
        "authorized_official_telephone_number": "512-785-0624"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5141T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5141T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "5141T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "64765",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49292 & 47839",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019327801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION (CHIP AND AMERIGROUP)",
            "identifier": "020635 & 024923",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "13860 & 35403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICE",
            "identifier": "2600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "19973 & 26903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTRATORS",
            "identifier": "550475 &545480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Round Rock Eye Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.