Organization Active NPI

Martinez Eye Care,P.C.

  • Optometrist
  • Martinez, GA
National Provider Identifier
1528393915
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARTINEZ EYE CARE,P.C.
Practice address
454 Furys Ferry Rd
Suite B
Martinez, GA 30907-9506
Phone
(706) 868-8870
Fax
(706) 868-8785
NPI assigned
Oct 2, 2009
Last updated
Oct 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Dr. Lopa Sheth, O.D.
Title
Optometrist
Phone
(706) 868-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

454 Furys Ferry Rd
Suite B
Martinez, GA 30907-9506

Mailing address

454 Furys Ferry Rd
Suite B
Martinez, GA 30907-9506
Phone (706) 868-8870

Other identifiers 1

IdentifierTypeStateIssuer
00849714AMedicaidGA

National Provider Directory

National Provider Directory

Locations

403 Furys Ferry Rd
Ste 105
Martinez, GA 30907
Phone (706) 868-8870

454 Furys Ferry Rd
Ste B
Martinez, GA 30907
Phone (706) 868-8870

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1528393915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FURYS FERRY RD",
            "address_2": "SUITE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079506",
            "telephone_number": "706-868-8870",
            "fax_number": "706-868-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FURYS FERRY RD",
            "address_2": "SUITE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079506",
            "telephone_number": "706-868-8870",
            "fax_number": "706-868-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ EYE CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "LOPA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "706-868-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00849714A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.