Zackery Conner Martin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5979 Issued in FL

Practice address

110 S Orlando Ave Ste 11
Winter Park, FL 32789-3656

Phone

(407) 571-9165

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Male

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B&B Florida Eye Care PLLC

  dba Pearle Vision

  • Optometrist
  • Seminole, FL
  • NPI 1700314184
  Medicare reassignment NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1598338030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE A4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ORLANDO AVE STE 11",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893656",
            "telephone_number": "407-571-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ZACKERY",
        "middle_name": "CONNER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marte Mobile Medicine, LLC
• Belkis Marte
• Gasel Marte
• Yessenia Maria Marte, MD
• Justin Martin, RMHI
• Alondra Maria Martinez
• Christian Martinez, DMD
• Claudine Annette Martinez, M.A,
• Gabriel Joshua Martinez, MSW
• Jennifer Martinez, OTR/L

• Optometrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.