Individual
DR. MICHAEL ROBERT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
780 N MAIN ST, PROVIDENCE, RI 02904-5706
(401) 331-2020
(401) 331-1179
Mailing address
780 N MAIN ST, PROVIDENCE, RI 02904-5706
(401) 331-2020
(401) 331-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00593
RI
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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