Individual provider Active NPI

Ann Martin, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1710115902
Registry record updated Mar 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000335 Issued in DC
Practice address
635 Pennsylvania Ave SE
Washington, DC 20003-4303
Phone
(202) 546-2838
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010242 IL
Optometrist 152W00000X 1344 NE
Optometrist 152W00000X OP1000335 DC Primary
Optometrist 152W00000X 0618002473 VA

Addresses

Primary practice location

635 Pennsylvania Ave SE
Washington, DC 20003-4303

Mailing address

8616 2ND Ave Apt 625
Silver Spring, MD 20910-3848
Phone (812) 322-7863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170302000032 DC Practitioner - Optometry 9638211469 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1344NEMDDental Hygienist
OP1000335DCMDOptometrist
046.010242ILMDOptometrist
0618002473VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 26, 2022 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 26, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients

Locations

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

1776 G St NW
Ste 104
Washington, DC 20006
Phone (202) 298-6878

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

6740 Old McLean Village Dr
McLean, VA 22101
Phone (703) 356-1292

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458432000000",
    "number": "1710115902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 2ND AVE APT 625",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103848",
            "telephone_number": "812-322-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034303",
            "telephone_number": "202-546-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2016-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010242",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1344",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000335",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.