Brad D Martin in Fort Wayne - Occupational Vision

Brad D Martin - NPI 1487664249

Brad D Martin is a Occupational Vision in Fort Wayne, Indiana. Brad D Martin practices all healthcare services and medical treatments related to Occupational Vision. 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 Occupational Vision
Taxonomy 152Wx0102X
Licence No 18002830B
Definition:
Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89437 IN ANTHEM
786400001 IN DMERC

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FAQs about Brad D Martin

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 Occupational Vision, and the taxonomy code that categorizes this field of expertise is 152Wx0102X.

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.

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