Martin Lee Hetland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9744T Issued in CA

Practice address

3855 Broad St Ste B
San Luis Obispo, CA 93401-7109

Phone

(805) 545-8100

NPI assigned

Aug 31, 2005

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Eye Surgeons a California Professional Medical CorporationGroup PAC ID 7810947397, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.53 of 100Reported as group

Quality

99.63

Improvement activities

40

Cost

82.25

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1548262751

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Eyewear Supplier
  • Lompoc, CA
  • NPI 1821952318
  NPD
• Pacific Eye Surgeons, a California Professional Medical Corporation

  • Ophthalmology Physician
  • Orcutt, CA
  • NPI 1962003582
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1851384218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BROAD ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017109",
            "telephone_number": "805-545-8100",
            "fax_number": "805-548-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 BROAD ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017109",
            "telephone_number": "805-545-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8382 Topanga Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913042344",
            "country_code": "US",
            "telephone_number": "818-348-8815",
            "fax_number": "818-348-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETLAND",
        "first_name": "MARTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9744T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Herrera, M.S.W., L.C.S.W.
• Nicholas Herring, RBT
• Andrea Nita Herron, R.N., C.P.N.P
• Larry D Herron, M.D.
• Robert Jeffrey Herten, MD
• Tiffani Hetrick
• Robert J Hetzel, M.D.
• Alexandra Belinda Heuer, M.S.
• Haylee Dawn Hickman
• Brenda Kristine Hiemstra, MFT

• Optometrist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.

Verify at the official NPI Registry.