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Individual

RICHARD A MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000403
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009236457
VA
01
4323400003
MEDICARE DME
01
453837
BCBS
VA
Enumeration date
06/30/2006
Last updated
07/26/2024
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