Jesus Gabriel Martinez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1010 Issued in NV

Practice address

3515 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4596

Phone

(702) 848-3387

Fax

(702) 848-3778

NPI assigned

Aug 5, 2016

Last updated

Dec 22, 2021By 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

Medicare fee-for-service enrollment

Enrolled in TX, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Dr Martinez OD PLLCGroup PAC ID 6305266693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dr Martinez OD, PLLC

  dba St. Rose Eye Care

  • Optometrist
  • Henderson, NV
  • NPI 1366040305
  Medicare reassignment Care Compare group NPD Authorized official
• University of Houston System

  dba University Eye Institute

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  Medicare reassignment NPD
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• The Cataract Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • Las Vegas, NV
  • NPI 1154876795
  NPD (past)
• The Lasik Vision Institute, LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1073652541
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1942754155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524596",
            "telephone_number": "702-848-3387",
            "fax_number": "702-848-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524596",
            "telephone_number": "702-848-3387",
            "fax_number": "702-848-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESUS",
        "middle_name": "GABRIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Chariee Martinez, APRN, FNP-C
• Daniel Martinez
• Gerzain Martinez
• Gonzalo Martinez Jr., MD
• Jeffrey Bryan Sison Martinez, OTR/L
• Jose Martinez
• Joy Martinez
• Lara Martinez
• Melissa Deanna Martinez
• Mildred M Martinez, NP

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.