Individual provider Active NPI

Brittany Nicole Martin, OD

  • Optometrist
  • Sachse, TX
National Provider Identifier
1477123891
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10196T Issued in TX
Practice address
4420 Mallard LN
Sachse, TX 75048-3952
Phone
(985) 805-0585
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10196T TX Primary

Addresses

Primary practice location

4420 Mallard LN
Sachse, TX 75048-3952

Mailing address

4420 Mallard LN
Sachse, TX 75048-3952
Phone (985) 805-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220523001970 TX Practitioner - Optometry 7911384490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blink Eyecare LLCGroup PAC ID 2062648231, 3 clinicians

Practice addresses (Care Compare)

6956 Mediterranean Dr
Suite 100
McKinney, TX 75072-5574
Phone (214) 865-6266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10196TXMDEndodontist
10196TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blink Eyecare LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

1138 Belt Line Rd
Ste 230
Garland, TX 75040
Phone (972) 268-7938

6956 Mediterranean Dr
Ste 100
McKinney, TX 75072
Phone (214) 865-6266

10650 Culebra Rd
Ste 132
San Antonio, TX 78251
Phone (210) 523-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1477123891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 MALLARD LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483952",
            "telephone_number": "985-805-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 MALLARD LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483952",
            "telephone_number": "985-805-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10196T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

Verify at the official NPI Registry.