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
Phone: (706) 651-2020
Fax: (706) 855-6674
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205947736 | NPPES |
Georgia | Other | 202I412570 | MEDICARE PTAN |
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