Active NPI
Don Paul Martin, O.D.
- Optometrist
- Ardmore, OK
National Provider Identifier
1932197720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1053
- Practice address
- 1122 Walnut Dr
Ardmore, OK 73401-2353 - Phone
- (580) 223-6780
- Fax
- (580) 223-6966
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1053 | OK | Primary |
Addresses
Primary practice location
1122 Walnut Dr
Ardmore, OK 73401-2353
Mailing address
1122 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-6780
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053 | OK | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1932197720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012353",
"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": "1122 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012353",
"telephone_number": "580-223-6780",
"fax_number": "580-223-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.