Individual
ADAM CHRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1617-650T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617-650T
STATE LICENSE
LA
Enumeration date
07/26/2011
Last updated
03/04/2014
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