Martin, Brad D

Martin, Brad D is an individual health care provider with primary practice located at 1015 E Dupont Rd , Fort Wayne IN 46825-1553. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Martin, Brad D can be contacted via phone (260) 416-0800.

Contact Information

Primary practice address
1015 E Dupont Rd Fort Wayne IN 46825-1553
Fax: (260) 416-0999
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002830B Indiana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 18002830B Indiana
Eye and Vision Services Providers / Pediatrics 152WP0200X 18002830B Indiana
Eye and Vision Services Providers / Sports Vision 152WS0006X 18002830B Indiana
Eye and Vision Services Providers / Vision Therapy 152WV0400X 18002830B Indiana
Eye and Vision Services Providers / Occupational Vision 152WX0102X 18002830B Indiana

Profile Details

NPI number 1487664249
LBN Legal business name Martin, Brad D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487664249 NPPES
Indiana Other 000000089437 ANTHEM
Indiana Other 0786400001 ANTHEM

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