Stanley R Martin
Optometrist
231 Northgate Dr Suite 106
Mc Minnville
, Tennessee 37110-1426
Stanley R Martin
Optometrist
231 Northgate Dr Suite 106
Mc Minnville
, Tennessee 37110-1426
(931) 473-1334
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Stanley R Martin
- 231 Northgate Dr Suite 106
- Mc Minnville, TN
- Zip : 37110-1426
- Fax : (931) 473-1334
- Phone : (931) 473-1986
Second Address
- Stanley R Martin
- 231 Northgate Dr Suite 106
- Mc Minnville, TN
- Zip : 37110-1426
- Fax : (931) 473-1334
- Phone : (931) 473-1986
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD1185T | TN |
National Provider Identifier
| NPI | 1003841420 |
|---|---|
| Provider Name | Stanley R Martin |
| First Address | Mc Minnville, TN 37110-1426 |
| Second Address | Mc Minnville, TN 37110-1426 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 25/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U12559 | (02) | TN |
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.