Jorge A Martinez, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M6614 Issued in ID

Practice address

1615 12TH Ave Rd
Ste B
Nampa, ID 83686-7713

Phone

(208) 498-1700

Fax

(208) 498-1745

NPI assigned

Mar 14, 2006

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Tulane University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jorge a. Martinez, MD, PA

  • Ophthalmology Physician
  • Nampa, ID
  • NPI 1972525947
  Medicare reassignment NPD
• Custom Vision Care Associates PA

  • Ophthalmology Physician
  • Nampa, ID
  • NPI 1013212133
  Authorized official Same address or phone
• Jorge a. Martinez, MD, PA

  dba Martinez Optical

  • Eyewear Supplier
  • Nampa, ID
  • NPI 1043374812
  Authorized official Same address or phone
• Jensen Eye Associates PLLC

  • Ophthalmology Physician
  • Nampa, ID
  • NPI 1871548669
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1922076082",
    "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": {
        "last_name": "MARTINEZ",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M6614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010150357",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "B4117",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe Martin
• Martinez Management Services, Inc
• Annabel Guadalupe Martinez
• Bardomeano Martinez, BSW
• Elisha Minnette Martinez
• Mario P Martinez, NP
• Rachael A Masaitis, BS
• Desiree Irma Mascorro
• Shauna Leigh Mason
• Louis Alexander Massoth, LCSW

• Ophthalmology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.