Active NPI
Chona Martin
- Optician
- Garner, NC
National Provider Identifier
1962288290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1152
- Practice address
- 5141 NC Highway 42 W
Garner, NC 27529-8418 - Phone
- (919) 772-7073
- Fax
- (919) 772-7660
- NPI assigned
- Sep 4, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1152 | NC | MD | Orthopedic Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1152 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5141 NC Highway 42 W
Garner, NC 27529-8418
Mailing address
2109 Lee St
Clayton, NC 27520-8533
Phone (919) 210-6816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2023.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1962288290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 LEE ST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208533",
"telephone_number": "919-210-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 NC HIGHWAY 42 W",
"city": "GARNER",
"state": "NC",
"postal_code": "275298418",
"telephone_number": "919-772-7073",
"fax_number": "919-772-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "1152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.