Individual
LYNNE K MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2701 S INTERSTATE 35, ROUND ROCK, TX 78664-7320
(512) 388-2600
(512) 388-2600
Mailing address
1308 ARRONIMINK CIR, AUSTIN, TX 78746-6303
(512) 785-0624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4499T
TX
152WC0802X
Corneal and Contact Management Optometrist
4499T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019327801
—
TX
01
—
26310
MEDICAL EYE SERVICES
TX
01
—
26903
SPECTERA
TX
01
—
35403
AVESIS
TX
01
—
47839
DAVIS
TX
01
—
64765
SAFEGUARD
TX
01
—
920532
BLOCK (CHIP & AMERIGROUP)
TX
Enumeration date
10/11/2006
Last updated
03/27/2014
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