Individual
DR. WILLIAM R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
KETTERING TOWER LOBBY, DAYTON, OH 45423
(937) 228-8811
(937) 228-2117
Mailing address
KETTERING TOWER LOBBY, DAYTON, OH 45423
(937) 228-8811
(937) 228-2117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3361
OH
152W00000X
Optometrist
T551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0466850001
DEMERC
OH
Enumeration date
01/29/2007
Last updated
08/25/2008
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