Martin, Elizabeth Anne

Martin, Elizabeth Anne is an individual health care provider with primary practice located at 1330 Interstate Parkway , Augusta GA 30909. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Martin, Elizabeth Anne can be contacted via phone (706) 651-2020.

Contact Information

Primary practice address
1330 Interstate Parkway Augusta GA 30909
Fax: (706) 855-6674
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MN 3191 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X MA4591 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X OPT002811 Georgia

Profile Details

NPI number 1205947736
LBN Legal business name Martin, Elizabeth Anne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 28th, 2015 - about 9 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 1205947736 NPPES
Georgia Other 202I412570 MEDICARE PTAN

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