JORGE A. MARTINEZ MD PA NPI 1043374812

NPI Information

JORGE A. MARTINEZ, MD, PA is an eyewear supplier in Nampa, ID. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JORGE A. MARTINEZ, MD, PA NPI is 1043374812. The provider is registered as an organization entity type.
The provider Is Doing Business As Martinez Optical.

The provider's business location address is:

1615 12TH AVE RD STE B
NAMPA, ID
ZIP 83686-184
Phone: (208) 498-1700
Fax: (208) 498-1745

The provider's authorized official is Jorge A Martinez .
The authorized official title is Owner and has the following contact phone number (208) 498-1700.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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