DR. ELIZABETH ANNE MARTIN (NPI# 1205947736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205947736 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH ANNE MARTIN |
| Credential | O.D. |
| Practice Address |
1330 Interstate Parkway Augusta GA 30909 |
| Practice Telephone | 7066512020 |
| Practice Fax Number | 7068556674 |
| Mailing Telephone | 7066512020 |
| Mailing Fax Number | 7068556674 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002811 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | MN 3191 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | MA4591 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I412570 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981686 | Elizabeth Joy Martin | Licensed Practical Nurse | 36079 La Highway 16, Denham Springs, LA 70706-0599 | 2020-08-04 |
| 1790225712 | Elizabeth Martin | Occupational Therapist | 4339 Ne 115th Ave, Portland, OR 97220-1409 | 2017-02-24 |
| 1851837199 | Elizabeth Brooke Martin | Social Worker | 1309 N Rogers Ave, Springfield, MO 65802-2019 | 2017-01-10 |
| 1215330907 | Elizabeth Martin | Speech-Language Pathologist | 10260 S Avenida La Primera, Yuma, AZ 85367-9034 | 2014-10-08 |
| 1104257088 | Elizabeth Collins Martin | Social Worker | 1140 S Spruce Dr, Bozeman, MT 59715-5953 | 2013-12-03 |
| 1871837112 | Elizabeth Miler Martin | Occupational Therapist | 14385 Sundown Dr, Redding, CA 96003-9491 | 2012-11-26 |
| 1417222043 | Elizabeth Hiltz Martin | Physical Therapist | 969 Colonial Meadows Way, Virginia Beach, VA 23454-3143 | 2012-03-15 |
| 1033404850 | Elizabeth Dawn Martin | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2011-06-09 |
| 1841599057 | Elizabeth D Martin | Counselor | 1001 Grove St # 300, Middletown, OH 45044-5890 | 2011-03-28 |
| 1861701948 | Elizabeth Lynette Martin | Nurse Practitioner | 216 Park Street, Krotz Springs, LA 70750 | 2010-10-06 |
| Street Address |
1330 INTERSTATE PARKWAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841587656 | Dale Rodrigue Eyecare Center, Inc | Optometrist | 58 State St, Augusta, ME 04330-5124 | 2011-06-30 |
| 1821303876 | Vision Value | Optometrist | 3899 Washington Rd, Augusta, GA 30907-2375 | 2010-08-15 |
| 1629262670 | Sponseller Eye Care One | Optometrist | 1456 Walton Way, Augusta, GA 30901-2674 | 2007-09-04 |
| 1326230657 | Anthony Kent Hartness | Optometrist | 706 Smiles Ave, Augusta, KS 67010-2385 | 2007-08-10 |
| 1336268903 | 1 Hour Optical P C | Optometrist | 2115 Windsor Spring Rd, Suite 23, Augusta, GA 30906-4855 | 2007-03-28 |
| 1679600258 | Donald Rene Carbonneau | Optometrist | 313 Water St, Augusta, ME 04330-4619 | 2007-02-28 |
| 1760566319 | Lance L Rittenhouse | Optometrist | 3440 Wrightsboro Rd, Augusta, GA 30909-2511 | 2006-10-24 |
| 1457447294 | Keisha Ann Williford | Optometrist | 217 Bobby Jones Expressway, Suite B, Augusta, GA 30907 | 2006-10-05 |
| 1013000744 | Abdul Babajide Daranijoh | Optometrist | 3412 Wrightsboro Rd, Suite 905, Augusta, GA 30909-2500 | 2006-10-02 |
| 1679667166 | Schwan Vision, LLC | Optometrist | 596 Bobby Jones Expy, Augusta, GA 30907-5300 | 2006-10-02 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.