Jerry Lee Martin in Lancaster - Optometrist

Jerry Lee Martin - NPI 1679543821

Jerry Lee Martin is a Optometrist in Lancaster, California. Jerry Lee Martin practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Lee Martin is 1679543821. The last update date is 2009-02-20.

Jerry Lee Martin's current location address is 1745 W Avenue K, Lancaster, California. You can contact this provider via phone number 6619428437 and fax number 6619401959. The mailing address for Jerry Lee Martin is 1745 W Avenue K, Lancaster, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Lee Martin
Address 1745 W Avenue K, Lancaster, California
Phone Number 6619428437
Fax Number 6619401959
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1679543821
Provider Enumeration Date 2006-01-23
Last Updated Date 2009-02-20

Provider Mailing Address Detail

Address 1745 W Avenue K
City Lancaster
State California (CA)
Post Code 935346502
Phone Number 6619428437
Fax Number 6619401959

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPT6288TPL
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6169 CA MESC PROVIDER NUMBER
ZZ40293Z CA B/C B/S GROUP IDENTIFIER
2673 CA DAVIS VISION PROVIDER NUM
410016191 CA RAILROAD MEDICARE NUMBER
SD0062880 CA B/C B/S IDENTIFIER

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FAQs about Jerry Lee Martin

Can you provide the Jerry Lee Martin's physical address?

The Jerry Lee Martin is physically located at 1745 W Avenue K, in the city of Lancaster, CA, with the postal code 935346502.

Could you please provide the complete street address where Jerry Lee Martin is physically located?

The Jerry Lee Martin is physically situated at the following address: 1745 W Avenue K, Lancaster, CA, 935346502.

What is the Jerry Lee Martin's area of specialization and corresponding taxonomy classification?

The Jerry Lee Martin's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

What is Jerry Lee Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerry Lee Martin is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

As of what date were the Jerry Lee Martin's details last updated?

The information pertaining to the Jerry Lee Martin, including its address, specialty, and other details, was most recently updated on 2009-02-20.

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