Organization Active NPI

Dr. St. Martin & Associates, PLLC

  • Optometrist
  • Ocala, FL
National Provider Identifier
1992105407
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4763 Issued in FL
Legal business name
DR. ST. MARTIN & ASSOCIATES, PLLC
Practice address
2701 SW College Rd Ste 105
Ocala, FL 34474-4436
Phone
(352) 237-3798
Fax
(352) 237-4857
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Dr. Jamie M St. Martin, O.D.
Title
MGMR
Phone
(352) 237-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4763 FL Primary

Addresses

Primary practice location

2701 SW College Rd Ste 105
Ocala, FL 34474-4436

Mailing address

4917 SW 56TH St
Ocala, FL 34474-4754
Phone (352) 804-9095

Other identifiers 1

IdentifierTypeStateIssuer
1396095097OtherFLNPI PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1992105407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 SW 56TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744754",
            "telephone_number": "352-804-9095",
            "fax_number": "352-237-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SW COLLEGE RD STE 105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744436",
            "telephone_number": "352-237-3798",
            "fax_number": "352-237-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ST. MARTIN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ST. MARTIN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "352-237-3798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER NUMBER",
            "identifier": "1396095097",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.