Jerry Lee Martin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2137 Issued in OK

Practice address

2501 Boardwalk
Norman, OK 73069

Phone

(405) 321-2155

Fax

(405) 321-1170

NPI assigned

Aug 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Optometry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norman Vision Clinic PLLCGroup PAC ID 4981627593, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20 of 100Reported as individual

Quality

40

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmartin@moorenormanvc.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Norman Vision Clinic PLLC

  • Optometrist
  • Norman, OK
  • NPI 1376659417
  Medicare reassignment Care Compare group NPD
• Norman Vision Clinic, PLLC

  • Optometrist
  • Moore, OK
  • NPI 1982149969
  NPD
• TPJ Vision, PLLC

  • Optometrist
  • Moore, OK
  • NPI 1871977587
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1992811038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-321-2155",
            "fax_number": "405-321-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-321-2155",
            "fax_number": "405-321-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Martin, RBT
• Ashley Lauren Martin
• Barbara Gayle Martin, COTA/L
• Breanna K Martin, BCBA
• Holly Loreece Martin, APRN
• Julia Martin, BCBA, LBA-OK
• Krystal Nicole Martin, BA BHRS
• Laurie Christine Martin, MPT
• Peter J.D. Martin, BS
• Robert Monroe Martin III, PH.D.

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.