Dr Martin Doll OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR MARTIN DOLL OD INC

Practice address

7562 Center Ave
Huntington Beach, CA 92647-3002

Phone

(714) 372-7525

NPI assigned

Jan 16, 2014

Reactivated

May 24, 2023

Last updated

May 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Doll, ODNPI 1528014743

Title

Manager

Phone

(714) 372-7525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin Doll, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1528014743
  Medicare reassignment Care Compare group Authorized official
• Ashkan Tavakoli Isfahani, OD

  • Optometrist
  • Laguna Woods, CA
  • NPI 1508596149
  Medicare reassignment Care Compare group
• Julie Cheon Kim, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1881882223
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1922420561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 CENTER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473002",
            "telephone_number": "714-372-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 CENTER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473002",
            "telephone_number": "714-372-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARTIN DOLL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "deactivation_date": "2023-04-20",
        "reactivation_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-372-7525",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ricki Drabek, MS, CCC-SLP

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.