Organization Active NPI

Martin Eye Care PLLC

  • Optometrist
  • Greenville, MI
National Provider Identifier
1992938922
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARTIN EYE CARE PLLC
Practice address
110 S Greenville West Dr
Suite 1
Greenville, MI 48838-3560
Phone
(616) 754-0110
Fax
(616) 754-4733
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Renee V Martin, O.D.NPI 1902894561
Title
Owner
Phone
(616) 754-0110

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 Primary

Addresses

Primary practice location

110 S Greenville West Dr
Suite 1
Greenville, MI 48838-3560

Mailing address

110 S Greenville West Dr
Suite 1
Greenville, MI 48838-3560
Phone (616) 754-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090914000053 MI Part B Supplier - Clinic/Group Practice 6507912714 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, MI
O20100930043255 MI DME Supplier - Physician - Optometrist 6507912714 Practice locations: Greenville, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Martin Eye Care PLLC110 S Greenville West Dr, Greenville, MI 48838-3560(616) 754-0110 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 10, 2009

National Provider Directory

National Provider Directory

Locations

110 S Greenville West Dr
Greenville, MI 48838
Phone (616) 754-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1992938922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S GREENVILLE WEST DR",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383560",
            "telephone_number": "616-754-0110",
            "fax_number": "616-754-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S GREENVILLE WEST DR",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383560",
            "telephone_number": "616-754-0110",
            "fax_number": "616-754-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-754-0110",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.