Active NPI
Amber Lynn Martin, COA
- Ophthalmic Assistant
- Lackland a F B, TX
National Provider Identifier
1871701946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Assistant
- License
- 134435
- Practice address
- 2200 Bergquist Dr
Lackland a F B, TX 78236-9907 - Phone
- (210) 292-2010
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | 134435 | TX | Primary |
Addresses
Primary practice location
2200 Bergquist Dr
Lackland a F B, TX 78236-9907
Mailing address
159 County Road 675
Devine, TX 78016-4633
Phone (210) 748-6345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134435 | TX | MD | Ophthalmic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871701946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 COUNTY ROAD 675",
"city": "DEVINE",
"state": "TX",
"postal_code": "780164633",
"telephone_number": "210-748-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "210-292-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AMBER",
"middle_name": "LYNN",
"credential": "COA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": "TX",
"license": "134435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland a F B, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.