Stanley Michael Martin in Modesto - Optometrist
Stanley Michael Martin - NPI 1093704264
Stanley Michael Martin is a Optometrist in Modesto, California. Stanley Michael Martin practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stanley Michael Martin is 1093704264. The last update date is 2011-01-27.
Stanley Michael Martin's current location address is 1011 Sylvan Ave, Modesto, California. You can contact this provider via phone number 2095752020 and fax number 2097585693. The mailing address for Stanley Michael Martin is 1011 Sylvan Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley Michael Martin |
|---|---|
| Address | 1011 Sylvan Ave, Modesto, California |
| Phone Number | 2095752020 |
| Fax Number | 2097585693 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1093704264 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2011-01-27 |
Provider Mailing Address Detail
| Address | 1011 Sylvan Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953501692 |
| Phone Number | 2095752020 |
| Fax Number | 2097585693 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5180T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410043677 | RAILROAD MEDICARE | ||
| SD0051800 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stanley Michael Martin by the Centers for Medicare & Medicaid Services?
The Stanley Michael Martin has been assigned the NPI (National Provider Identifier) 1093704264. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stanley Michael Martin's facilities are situated?
The facilities of Stanley Michael Martin are physically located at the following address: 1011 Sylvan Ave, Modesto, CA, 953501692.
What is Stanley Michael Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stanley Michael Martin is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Stanley Michael Martin receive its 1093704264 assignment from the Centers for Medicare & Medicaid Services?
The Stanley Michael Martin was assigned its 1093704264 by the Centers for Medicare & Medicaid Services on 2005-10-19.
When was the information related to Stanley Michael Martin most recently updated or refreshed?
The details pertaining to the Stanley Michael Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-27.