Individual provider Active NPI

Joseph Harold Martin, OD

  • Optometrist
  • Edina, MN
National Provider Identifier
1770536542
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2145 Issued in MN
Practice address
7600 Parklawn Ave
Suite 103
Edina, MN 55435-5125
Phone
(952) 288-3412
NPI assigned
May 19, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2145 MN Primary

Addresses

Primary practice location

7600 Parklawn Ave
Suite 103
Edina, MN 55435-5125

Mailing address

19101 Eagleview LN
Prior Lake, MN 55372-3801
Phone (612) 558-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20080313000079 MN Practitioner - Optometry 9436042348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

3333 Hazelton Rd
Minneapolis, MN 55435-4204
Phone (952) 926-6149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2145MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Optical Group Optometrist CurrentSince Apr 2, 2025 Accepting new patients
Joseph H. Martin OD, P.a. Optometrist CurrentSince Nov 20, 1997 Accepting new patients
Joseph H Martin OD, P.a. & Associates Optometrist Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Joseph H Martin OD, P.a. & Associates Optometrist Past Accepting new patients

Locations

3333 Hazelton Rd
Minneapolis, MN 55435
Phone (952) 926-6149

7600 Parklawn Ave
Ste 103
Minneapolis, MN 55435
Phone (507) 281-4922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1770536542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 EAGLEVIEW LN",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723801",
            "telephone_number": "612-558-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "SUITE 103",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "952-288-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSEPH",
        "middle_name": "HAROLD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.