Individual
DR. ELIZA MARGUERITE WHATLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
180 S MAIN ST STE B2, DRIGGS, ID 83422-5034
(208) 471-8721
(208) 471-8727
Mailing address
7973 SPOON CREEK DR, VICTOR, ID 83455-4992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003187
VA
152W00000X
Optometrist
12793207-9934
UT
152W00000X
Optometrist
4280
MT
152W00000X
Optometrist
Primary
447T
WY
152W00000X
Optometrist
OD61409137
WA
152W00000X
Optometrist
ODP-100599
ID
152W00000X
Optometrist
OEG004119
PA
152W00000X
Optometrist
TPOP280
FL
Other
Enumeration date
02/22/2022
Last updated
02/11/2026
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