Lisa Wooten Martin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002548 Issued in GA

Practice address

603 Wheat Ave
Suite 650
Bainbridge, GA 39819-4360

Phone

(229) 243-8597

Fax

(229) 243-1506

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Authority of the City of Bainbridge and Decatur County 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.martin@mh-m.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  GA

  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Durable Medical Equipment & Medical Supplies
  • Bainbridge, GA
  • NPI 1801901723
  Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1881683324
  Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD
• Bainbridge Vision Clinic Inc

  • Optometrist
  • Bainbridge, GA
  • NPI 1548344336
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1457583239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE",
            "address_2": "SUITE 650",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194360",
            "telephone_number": "229-243-8597",
            "fax_number": "229-243-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE",
            "address_2": "SUITE 650",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194360",
            "telephone_number": "229-243-8597",
            "fax_number": "229-243-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "WOOTEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OPT002548",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104546A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lewis-Holland, D.O.
• Mark Wesley Loeffler, PA
• Melodee W Loeffler, RPH
• Jewana Lowe, MS, CCS, CADCII
• Amanda Loyless
• Landin John Marzolf, D.C.
• Anna Lewis Mathis, SLP
• Jimmy Foster Maxwell, D.M.D., P.C.
• Pauline Maxwell, LPC
• Bethany Breckenridge McElyea, LPC

• All providers in Bainbridge, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.