Individual provider Active NPI

Lynne N Martin, OD

  • Optometrist
  • Apex, NC
National Provider Identifier
1851535587
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1785 Issued in NC
Practice address
821 Perry Rd
Apex, NC 27502-7702
Phone
(919) 362-1962
Fax
(919) 589-9899
NPI assigned
Apr 24, 2009
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1785 NC Primary

Addresses

Primary practice location

821 Perry Rd
Apex, NC 27502-7702

Mailing address

821 Perry Rd
Apex, NC 27502-7702
Phone (919) 362-1962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090608000614 NC Practitioner - Optometry 9739239047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision One Eye Center OD PAGroup PAC ID 2264403690, 3 clinicians

Practice addresses (Care Compare)

2805 S Horner Blvd
Sanford, NC 27332-8037
Phone (919) 776-1012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vision One Eye Center OD PA Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Vision Development, Inc. Optometrist Past Accepting new patients

Locations

2805 S Horner Blvd
Sanford, NC 27332
Phone (919) 776-1012

Organizations & group practices 3

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1851535587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PERRY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027702",
            "telephone_number": "919-362-1962",
            "fax_number": "919-589-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PERRY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027702",
            "telephone_number": "919-362-1962",
            "fax_number": "919-589-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYNNE",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.