Individual provider Active NPI

Cynthia Martin, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1649439241
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1784 Issued in CO
Practice address
388 Main St
Colorado Springs, CO 80911-1713
Phone
(719) 391-2000
Fax
(844) 273-2910
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1784 CO Primary

Addresses

Primary practice location

388 Main St
Colorado Springs, CO 80911-1713

Mailing address

13505 Herring Road
Colorado Springs, CO 80908
Phone (719) 660-2162

Other identifiers 1

IdentifierTypeStateIssuer
06002242MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100525000044 CO Practitioner - Optometry 9830228287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

388 Main St
Colorado Springs, CO 80911-1713
Phone (719) 391-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1784COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Vision PC Optometrist CurrentSince Nov 1, 2010 Accepting new patients
Impressive Eyes Optics LLC Optometrist Current Accepting new patients
In-Sight Optical Past Accepting new patients

Locations

388 Main St
Colorado Springs, CO 80911
Phone (719) 210-1200

Organizations & group practices 3

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1649439241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 HERRING ROAD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "719-660-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MAIN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111713",
            "telephone_number": "719-391-2000",
            "fax_number": "844-273-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CYNTHIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06002242",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.