Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. JERRY LEE MARTIN
Active
Individual
DR. JERRY LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6288TPL
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT6288TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2673
DAVIS VISION PROVIDER NUM
CA
01
—
410016191
RAILROAD MEDICARE NUMBER
CA
01
—
6169
MESC PROVIDER NUMBER
CA
01
—
SD0062880
B/C B/S IDENTIFIER
CA
01
—
ZZ40293Z
B/C B/S GROUP IDENTIFIER
CA
Enumeration date
01/23/2006
Last updated
02/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up