Individual provider Active NPI

Lindsay Chitwood Martin, O.D.

  • Optometrist
  • Toccoa, GA
National Provider Identifier
1528416708
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002929 Issued in GA
Practice address
58 E Doyle St
Toccoa, GA 30577-3009
Phone
(706) 886-5214
NPI assigned
May 29, 2016
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002929 GA Primary

Addresses

Primary practice location

58 E Doyle St
Toccoa, GA 30577-3009

Mailing address

1977 Bear Creek Rd
Canon, GA 30520-1409
Phone (706) 599-5407

Other names 1

  • Lindsay Chitwood Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170309002149 GA Practitioner - Optometry 8729362819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1399 Big a Rd
Toccoa, GA 30577-6030
Phone (706) 886-5214

58 E Doyle St
Toccoa, GA 30577-3009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moderneyes Vision Care, LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

1399 Big a Rd
Toccoa, GA 30577
Phone (706) 282-0060

58 E Doyle St
Toccoa, GA 30577
Phone (706) 599-5407

Organizations & group practices 1

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": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1528416708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 BEAR CREEK RD",
            "city": "CANON",
            "state": "GA",
            "postal_code": "305201409",
            "telephone_number": "706-599-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773009",
            "telephone_number": "706-886-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LINDSAY",
        "middle_name": "CHITWOOD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-29",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "CHITWOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.