Organization
DR. JENNIFER MARTINO, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARTINO (OD/OWNER)
(210) 606-4988
Entity
Organization
Contact information
Practice address
4096 N FOSTER RD, SAN ANTONIO, TX 78244-1874
(210) 661-3000
Mailing address
PO BOX 374, CONVERSE, TX 78109-0374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6482T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189183002
—
TX
Enumeration date
10/10/2014
Last updated
10/10/2014
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