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MR. MARTIN BRUCE SIMMONS OD NPI 1588696280


NPI Information

NPI: 1588696280
Provider Name: MR. MARTIN BRUCE SIMMONS, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4021 FAR HILLS AVE
KETTERING, OH
ZIP 45429
Phone: (937) 293-2149
Get Directions

MR. Martin Bruce Simmons, OD is an optometrist in Kettering, OH with 43 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MR. Martin Bruce Simmons, OD NPI is 1588696280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1981

The provider's business location address is:

4021 FAR HILLS AVE
KETTERING, OH
ZIP 45429-413
Phone: (937) 293-2149
Fax: (937) 395-9633

The NPI 1588696280 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 11/25/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOEG000681PENNSYLVANIANo
2152W00000XOptometristOPT006726OHIOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11863649OTHERPENNSYLVANIACAPITAL BLUE CROSS
227541OTHERPENNSYLVANIAHLTH AMERICA
35106063OTHERPENNSYLVANIAAETNA PPO
41016403560001MEDICAIDPENNSYLVANIA
51863649OTHERPENNSYLVANIAKEYSTONE SR BLUE
61863649OTHERPENNSYLVANIAKEYSTONE HLTH PLAN CENTRA
727541OTHERPENNSYLVANIAHLTH ASSURANCE
81315299OTHERPENNSYLVANIAAETNA HMO
9180649OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.