Individual
DR. CARL J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007681
KAISER-COMMERCIAL NUMBER
—
05
—
50887831
—
CO
Enumeration date
02/16/2007
Last updated
05/10/2021
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