Organization Active NPI

Stanley R Martin, O.D.

  • Eyewear Supplier
  • McMinnville, TN
National Provider Identifier
1992974760
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
STANLEY R MARTIN, O.D.
Practice address
231 Northgate Dr Ste 106
MC Minnville, TN 37110-1436
Phone
(931) 473-1986
Fax
(931) 473-1334
NPI assigned
Feb 26, 2008
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Stanley R Martin, O.D.NPI 1003841420
Title
Owner
Phone
(931) 473-1986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

231 Northgate Dr Ste 106
MC Minnville, TN 37110-1436

Mailing address

231 Northgate Dr Ste 106
MC Minnville, TN 37110-1436
Phone (931) 473-1986

National Provider Directory

National Provider Directory

Locations

231 Northgate Dr
Ste 106
McMinnville, TN 37110
Phone (931) 473-1986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1992974760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NORTHGATE DR STE 106",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101436",
            "telephone_number": "931-473-1986",
            "fax_number": "931-473-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHGATE DR STE 106",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101436",
            "telephone_number": "931-473-1986",
            "fax_number": "931-473-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY R MARTIN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-473-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.