Organization Active NPI

Dr Martocci and Associates, LLC

  • Optometrist
  • Allentown, PA
National Provider Identifier
1972006427
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001107 Issued in PA
Legal business name
DR MARTOCCI AND ASSOCIATES, LLC
Practice address
2804 Walbert Ave
Allentown, PA 18104-2400
Phone
(610) 439-3937
Fax
(610) 439-0215
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Monica Martocci, ODNPI 1336290568
Title
Owner/Member
Phone
(610) 217-2184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001107 PA Primary

Addresses

Primary practice location

2804 Walbert Ave
Allentown, PA 18104-2400

Mailing address

2804 Walbert Ave
Allentown, PA 18104-2400
Phone (610) 439-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180504001958 PA Part B Supplier - Clinic/Group Practice 9739443458 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

2804 Walbert Ave
Allentown, PA 18104
Phone (610) 439-3937

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1972006427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042400",
            "telephone_number": "610-439-3937",
            "fax_number": "610-439-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042400",
            "telephone_number": "610-439-3937",
            "fax_number": "610-439-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARTOCCI AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "MARTOCCI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "610-217-2184",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.