Organization
MARTIN EYE CLINIC INC
Active
Other names
Martin Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G MARTIN OD (OPTOMETRIST)
(319) 472-4741
Entity
Organization
Contact information
Practice address
513 1ST AVE, VINTON, IA 52349-1749
(319) 472-4741
(319) 472-2827
Mailing address
513 1ST AVE, VINTON, IA 52349-1749
(319) 472-4741
(319) 472-2827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01848
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082552
—
IA
Enumeration date
04/25/2007
Last updated
09/26/2017
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