Individual provider Active NPI

Lizett J Martinez, OD

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1528782174
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10571T Issued in TX
Practice address
12210 Quaker Ave
Lubbock, TX 79424-7789
Phone
(806) 792-5900
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10571T TX Primary

Addresses

Primary practice location

12210 Quaker Ave
Lubbock, TX 79424-7789

Mailing address

708 S Bibb Ave
Eagle Pass, TX 78852-5069
Phone (830) 773-7339

Other practice location 1

708 S Bibb Ave
Eagle Pass, TX 78852-5069
Phone (830) 773-7339

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
I20221208002314 TX Practitioner - Optometry 4284003518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald W. Ingram, MD PAGroup PAC ID 6800828880, 4 clinicians

Practice addresses (Care Compare)

2706 W Cuthbert Ave
BLDG a
Midland, TX 79701-3885
Phone (432) 694-0999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10571TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald W. Ingram, MD PA Optometrist CurrentSince Dec 21, 2025 Accepting new patients
Priscilla R Heredia OD PLLC Optometrist CurrentSince Aug 31, 2022 Accepting new patients
West Texas Eye PA Optometrist CurrentSince May 1, 2024 Accepting new patients
West Texas Eye PA Optometrist CurrentSince May 1, 2024 Accepting new patients
Ingram Investments LLC PastSince Dec 21, 2025 Accepting new patients

Locations

708 S Bibb Ave
Eagle Pass, TX 78852
Phone (830) 294-8020

2076 N Veterans Blvd
Ste E
Eagle Pass, TX 78852
Phone (830) 773-7339

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900

3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900

805 W Wadley Ave
Midland, TX 79705
Phone (806) 792-5900

2706 W Cuthbert Ave
Bldg A
Midland, TX 79701
Phone (432) 694-0999

Interoperability endpoints

  • Direct secure messaging: lizett.martinez.p30@direct.avp.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1528782174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247789",
            "telephone_number": "806-792-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 S Bibb Ave",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788525069",
            "country_code": "US",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LIZETT",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10571T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.