Organization Active NPI

Don P Martin OD Inc

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1861685653
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1053 Issued in OK
Legal business name
DON P MARTIN OD INC
Practice address
130 D St NW
Ardmore, OK 73401-6219
Phone
(580) 223-6780
Fax
(580) 223-6966
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Don P Martin, OD
Title
President
Phone
(580) 223-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1053 OK Primary

Addresses

Primary practice location

130 D St NW
Ardmore, OK 73401-6219

Mailing address

130 D St NW
Ardmore, OK 73401-6219
Phone (580) 223-6780

Other identifiers 1

IdentifierTypeStateIssuer
100762690AMedicaidOK

Other names 1

  • MARTIN EYE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

130 D St NW
Ardmore, OK 73401
Phone (580) 223-6780

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1861685653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 D ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016219",
            "telephone_number": "580-223-6780",
            "fax_number": "580-223-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 D ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016219",
            "telephone_number": "580-223-6780",
            "fax_number": "580-223-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON P MARTIN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-223-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.