Active NPI
Martinez Management Services, Inc
- Ophthalmology Physician
- Nampa, ID
National Provider Identifier
1811215114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MARTINEZ MANAGEMENT SERVICES, INC
- Practice address
- 1615 12TH Ave Rd
Ste B
Nampa, ID 83686-7713 - Phone
- (208) 498-1700
- Fax
- (208) 498-1745
- NPI assigned
- May 11, 2010
- 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
- Renee Robling
- Title
- Administrator
- Phone
- (208) 498-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1615 12TH Ave Rd
Ste B
Nampa, ID 83686-7713
Mailing address
1615 12TH Ave Rd
Ste B
Nampa, ID 83686-7713
Phone (208) 498-1700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1811215114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 12TH AVE RD",
"address_2": "STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836867713",
"telephone_number": "208-498-1700",
"fax_number": "208-498-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 12TH AVE RD",
"address_2": "STE B",
"city": "NAMPA",
"state": "ID",
"postal_code": "836867713",
"telephone_number": "208-498-1700",
"fax_number": "208-498-1745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINEZ MANAGEMENT SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "ROBLING",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-498-1700"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.