Active NPI
Joseph Perry Martin, O.D.
- Optometrist
- Murray, UT
National Provider Identifier
1730390261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 111309-9934
- Practice address
- 166 E 5900 S
Suit B103
Murray, UT 84107-7257 - Phone
- (801) 268-0408
- NPI assigned
- May 25, 2007
- Last updated
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 111309-9934 | UT | Primary |
Addresses
Primary practice location
166 E 5900 S
Suit B103
Murray, UT 84107-7257
Mailing address
9862 Granite Slope Dr
Sandy, UT 84092-6004
Phone (801) 943-0970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 E 5900
Suite B103
Murray, UT 84107-7278
Phone (801) 268-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyemax Eyecare, PLLC. | Optometrist | Current | Accepting new patients |
| Eagle Eye Care, Inc. | Optometrist | Past | Accepting new patients |
Locations
166 E 5900 S
Ste B103
Salt Lake Cty, UT 84107
Phone (801) 262-3395
Organizations & group practices 2
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.
-
- Optometrist
- Murray, UT
- NPI 1255570354
-
- Optometrist
- Murray, UT
- NPI 1356537401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1730390261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9862 GRANITE SLOPE DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840926004",
"telephone_number": "801-943-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E 5900 S",
"address_2": "SUIT B103",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077257",
"telephone_number": "801-268-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOSEPH",
"middle_name": "PERRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "111309-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.