Ronaldo Patrick Martin Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000507 Issued in VA

Practice address

2 Coliseum Xing
Hampton, VA 23666-5970

Phone

(757) 826-1798

Fax

(757) 826-1798

NPI assigned

Aug 4, 2006

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1770591745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLISEUM XING",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665970",
            "telephone_number": "757-826-1798",
            "fax_number": "757-826-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLISEUM XING",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665970",
            "telephone_number": "757-826-1798",
            "fax_number": "757-826-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RONALDO",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204814",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adele Martelle, LCSW
• John Thomas Martin, DDS
• Lisa Marie Martin
• Makayla Martin
• Reginald Martin
• Shakyra Louise Martin
• Tyler Martin
• Victoria A Martin, LCSW
• Carman Martinez
• David E Martinez, D.C.

• Optometrist in Hampton, VA
• Providers in Hampton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.