Brad D Martin is a Vision Therapy in Fort Wayne, Indiana. Brad D Martin practices all healthcare services and medical treatments related to Vision Therapy. The NPI Number for Brad D Martin is 1487664249. The last update date is 2007-07-08.
Brad D Martin's current location address is 1015 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604160800 and fax number 2604160999. The mailing address for Brad D Martin is 1015 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad D Martin |
|---|---|
| Address | 1015 E Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2604160800 |
| Fax Number | 2604160999 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1487664249 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1015 E Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251553 |
| Phone Number | 2604160800 |
| Fax Number | 2604160999 |
Provider's Primary Taxonomy Detail
| Speciality | Vision Therapy |
|---|---|
| Taxonomy | 152Wv0400X |
| Licence No | 18002830B |
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Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89437 | IN | ANTHEM | |
| 786400001 | IN | DMERC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brad D Martin by the Centers for Medicare & Medicaid Services?
The Brad D Martin has been assigned the NPI (National Provider Identifier) 1487664249 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brad D Martin's physical address?
The Brad D Martin is physically located at 1015 E Dupont Rd, in the city of Fort Wayne, IN, with the postal code 468251553.
What is Brad D Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brad D Martin is Vision Therapy, and the taxonomy code that categorizes this field of expertise is 152Wv0400X.
On what date did the Brad D Martin receive its 1487664249 assignment from the Centers for Medicare & Medicaid Services?
The Brad D Martin was assigned its 1487664249 by the Centers for Medicare & Medicaid Services on 2006-08-08.
When was the information pertaining to Brad D Martin most recently updated or revised?
The details related to Brad D Martin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.