Active NPI
Virginia Martin, O.D.
- Optometrist
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003002
- Practice address
- 2209 Memorial Dr
Waycross, GA 31501-0902 - Phone
- (912) 285-2021
- Fax
- (912) 285-2558
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2897 | OK | |
| Optometrist | 152W00000X | OPT003002 | GA | Primary |
Addresses
Primary practice location
2209 Memorial Dr
Waycross, GA 31501-0902
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15196 US Hwy 19 S
Thomasville, GA 31757-4820
Phone (229) 228-4770
198 S Houston Lake Rd
Suite B
Warner Robins, GA 31088-6475
Phone (478) 971-1500
198 S Houston Lake Rd B
Warner Robins, GA 31088-6475
Phone (478) 971-1500
22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400
2610 Dawson Rd
Albany, GA 31707-1682
Phone (229) 439-4687
426 N Main St
East Longmeadow, MA 01028-1850
Phone (413) 525-4888
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
489 Bernardston Rd
Greenfield, MA 01301-1238
Phone (413) 772-2571
Merit-based Incentive Payment System (MIPS)
- Final score
- 50 of 100
- Quality
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2897 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676
1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010
489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
-
- Optometrist
- Rincon, GA
- NPI 1437294592
-
- Optometrist
- Amherst, MA
- NPI 1124534946
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Perry, GA
- NPI 1669879094
-
- Optometrist
- North Andover, MA
- NPI 1922971415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1497101125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 MEMORIAL DR",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315010902",
"telephone_number": "912-285-2021",
"fax_number": "912-285-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "VIRGINIA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2897",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.