Martin, Jerry Lee
Martin, Jerry Lee is an individual health care provider with primary practice located at 1745 W Avenue K , Lancaster CA 93534-6502. He recently has 2 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 / Optometrist is his primary health care specialty. Martin, Jerry Lee can be contacted via phone (661) 942-8437.Contact Information
Primary practice address
1745 W Avenue K
Lancaster CA 93534-6502
Phone: (661) 942-8437
Fax: (661) 940-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6288TPL | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT6288TPL | California |
Profile Details
| NPI number | 1679543821 |
|---|---|
| LBN Legal business name | Martin, Jerry Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 20th, 2009 - about 15 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 | 1679543821 | NPPES |
| California | Other | 6169 | MESC PROVIDER NUMBER |
| California | Other | ZZ40293Z | MESC PROVIDER NUMBER |
| California | Other | 2673 | MESC PROVIDER NUMBER |
| California | Other | 410016191 | MESC PROVIDER NUMBER |
| California | Other | SD0062880 | MESC PROVIDER NUMBER |
Popular Providers
-
Silverman, Clifford
42220 10Th St W Ste 105 , Lancaster CA 93534-7075 -
Petersen, Richard Nels
1745 W Avenue K Suite A, Lancaster CA 93534-6502 -
Mewborne, Mark C
43927 15Th St W , Lancaster CA 93534-4758 -
Holub, Michael Lee
1745 W Avenue K Suite A, Lancaster CA 93534-6502 -
Nemiroff, Albert Mayer
2206 W Avenue K14 , Lancaster CA 93536-4611 -
Lai, Josephine
1739 W Avenue J , Lancaster CA 93534-2703 -
Israel, Steven
1046 W Avenue K , Lancaster CA 93534-5918 -
Mohana, Tarek
1141 W Avenue L , Lancaster CA 93534-7077