Dr Frederick Warren Martin, OD | |
467 Sunset Trl, Jellico, TN 37762-2709 | |
(423) 784-2020 | |
(423) 784-4940 |
Full Name | Dr Frederick Warren Martin |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 467 Sunset Trl, Jellico, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245236496 | NPI | - | NPPES |
1760573497 | Medicaid | KY | |
01257740 | Other | AMERIGROUP | |
4619 | Other | KY | AVESIS/MEDICAID |
77008167 | Medicaid | KY | |
000624846 | Other | HUMANA | |
49606 | Other | BCBSTN/BLUECARE/TENNCARE | |
406171015 | Other | KY | RAILROAD MEDICARE |
4599125 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD3266 (Tennessee) | Primary |
Provider Name | Associates In Eye Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427149160 PECOS PAC ID: 7012908643 Enrollment ID: O20040521000296 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick Warren Martin, OD Po Box 306, Ferguson, KY 42533-0306 Ph: (606) 492-2211 | Dr Frederick Warren Martin, OD 467 Sunset Trl, Jellico, TN 37762-2709 Ph: (423) 784-2020 |
Matthew Testa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 467 Sunset Trl, Jellico, TN 37762 Phone: 423-784-2020 Fax: 423-784-4940 | |
Associates In Eye Care, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 467 Sunset Trail, Jellico, TN 37762 Phone: 423-784-2020 Fax: 423-784-4940 |