Individual
MATTHEW JAMES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8500 W 110TH ST, OVERLAND PARK, KS 66210-1874
(877) 674-1211
Mailing address
10200 W 136TH PL APT 2503, OVERLAND PARK, KS 66221-7830
(620) 255-2353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2023003346
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/05/2023
Last updated
01/31/2023
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