Active NPI
Martin Vision PC
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1710947098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1784
- Legal business name
- MARTIN VISION PC
- Doing business as
- Impressive Eyes Optical
Martin Vision PC - Practice address
- 388 Main St
Colorado Springs, CO 80911-1713 - Phone
- (719) 391-2000
- Fax
- (844) 273-2910
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Martin, OD
- Title
- Owner
- Phone
- (719) 660-2162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1784 | CO | Primary |
Addresses
Primary practice location
388 Main St
Colorado Springs, CO 80911-1713
Mailing address
13505 Herring Rd
Colorado Springs, CO 80908-2946
Phone (719) 282-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99382041 | Medicaid | CO | |
| 06002242 | Medicaid | CO |
Other names 2
- Impressive Eyes Optical
- Martin Vision PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
388 Main St
Colorado Springs, CO 80911
Phone (719) 210-1200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Colorado Springs, CO
- NPI 1649439241
-
- Optician
- Colorado Springs, CO
- NPI 1407234545
-
- Optician
- Colorado Springs, CO
- NPI 1932618550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1710947098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13505 HERRING RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809082946",
"telephone_number": "719-282-8555",
"fax_number": "718-282-8555"
},
{
"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": {
"organization_name": "MARTIN VISION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-660-2162",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "1784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99382041",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06002242",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Impressive Eyes Optical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Martin Vision PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Martin Vision PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.