Trent Wayne Martin, OD | |
1296 Union University Dr Ste B, Jackson, TN 38305-3714 | |
(731) 513-5755 | |
Not Available |
Full Name | Trent Wayne Martin |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 6 Years |
Location | 1296 Union University Dr Ste B, Jackson, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023504818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3468 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Tennessee Llc | 1759646995 | 34 |
Provider Name | Myeyedr Optometry Of Tennessee Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619481587 PECOS PAC ID: 1759646995 Enrollment ID: O20180517001819 |
Provider Name | Lifestyle Eye Care Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629741707 PECOS PAC ID: 8527456847 Enrollment ID: O20211019001598 |
Mailing Address | Practice Location Address |
---|---|
Trent Wayne Martin, OD 113 Cortez Cv, Dyersburg, TN 38024-8490 Ph: (731) 610-0858 | Trent Wayne Martin, OD 1296 Union University Dr Ste B, Jackson, TN 38305-3714 Ph: (731) 513-5755 |
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