Theresa Yvonne Martinez, ABOC, NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5304 Issued in FL

Practice address

19100 Murdock Cir
Vision Center
Port Charlotte, FL 33948-1022

Phone

(941) 625-7437

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1548099005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 GARBETT TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888794",
            "telephone_number": "941-920-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 MURDOCK CIR",
            "address_2": "VISION CENTER",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481022",
            "telephone_number": "941-625-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "THERESA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "ABOC, NCLEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Martin
• Jose Ernesto Martinez Gomez
• Niurka Martinez Rodriguez
• Yuraimi Martinez Sena
• Ricardo R Martinez, MD
• Domenique Martini, APRN
• Lindsey Masica, LCSW
• Stephen Mason
• Masters Counseling Services
• Patricia McCoy Masters, LCSW, CTS

• Optician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.