Individual provider Active NPI

Martin Doll, O.D.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1528014743
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
572 Issued in NM
Practice address
7562 Center Ave
Huntington Beach, CA 92647-3002
Phone
(714) 372-7525
Fax
(714) 372-7526
NPI assigned
May 26, 2006
Last updated
Oct 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 572 NM Primary
Optometrist 152W00000X 10687T CA

Addresses

Primary practice location

7562 Center Ave
Huntington Beach, CA 92647-3002

Mailing address

7562 Center Ave
Huntington Beach, CA 92647-3002
Phone (714) 372-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20121114000273 CA Practitioner - Optometry 8628083979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Martin Doll OD IncGroup PAC ID 2961633185, 3 clinicians

Practice addresses (Care Compare)

7562 Ctr Ave
Huntington Beach, CA 92647-3002
Phone (714) 372-7525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
572NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Martin Doll & Associates, LLC Optometrist PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1528014743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 CENTER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473002",
            "telephone_number": "714-372-7525",
            "fax_number": "714-372-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 CENTER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473002",
            "telephone_number": "714-372-7525",
            "fax_number": "714-372-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "572",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10687T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.