Organization
DON P MARTIN OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON P MARTIN OD (OWNER PRESIDENT)
(580) 223-6780
Entity
Organization
Contact information
Practice address
130 D STREET NW, ARDMORE, OK 73401-6219
(580) 223-6780
(580) 223-6966
Mailing address
130 D STREET NW, ARDMORE, OK 73401-6219
(580) 223-6780
(580) 223-6966
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1053
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
OK
01
—
1932197720
NPI
OK
Enumeration date
02/07/2007
Last updated
08/22/2020
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