Organization · Type 2 NPI
Jorge A. Martinez, Md, PA
Eyewear Supplier · Nampa, ID
NPI number
1043374812
Active
Practice location
1615 12th Ave Rd Ste B
Nampa, ID 83686-6184
Fax (208) 498-1745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | M6114 (ID) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
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About NPI 1043374812
Jorge A. Martinez, Md, PA's National Provider Identifier is 1043374812, issued on Dec 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Nampa, ID. The record was last updated on Oct 11, 2007.