Organization
MARTIN EYE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E MARTIN OD (OPTOMETRIST)
(260) 416-0800
Entity
Organization
Contact information
Practice address
1015 E DUPONT RD, FORT WAYNE, IN 46825-1553
(260) 416-0800
Mailing address
1015 E DUPONT RD, FORT WAYNE, IN 46825-1553
(260) 416-0800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
IN
152WL0500X
Low Vision Rehabilitation Optometrist
—
IN
152WP0200X
Pediatric Optometrist
—
IN
152WV0400X
Vision Therapy Optometrist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439940A
—
IN
Enumeration date
12/19/2006
Last updated
04/02/2026
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