Dr. Amanda R Martin
Optomitrist - Corneal and Contact Lenses
1900 Colley Ave
Norfolk
, Virginia 23517-1613
Dr. Amanda R Martin
Optomitrist - Corneal and Contact Lenses
1900 Colley Ave
Norfolk
, Virginia 23517-1613
(757) 622-2517
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Amanda R Martin
- 1900 Colley Ave
- Norfolk, VA
- Zip : 23517-1613
- Fax : (757) 622-2517
- Phone : (757) 622-5595
Second Address
- Dr. Amanda R Martin
- 1900 Colley Ave
- Norfolk, VA
- Zip : 23517-1613
- Fax : (757) 622-2517
- Phone : (757) 622-5595
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 0618001509 | VA |
National Provider Identifier
| NPI | 1235176850 |
|---|---|
| Provider Name | Dr. Amanda R Martin |
| First Address | Norfolk, VA 23517-1613 |
| Second Address | Norfolk, VA 23517-1613 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 13/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 018425P76 | MEDICARE PTAN (01) | VA |
| V07118 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.