NPI 1043374812

Jorge A. Martinez, MD, PA

Organisation Eyewear Supplier Nampa, ID

Practice location

Address: 1615 12th Ave Rd STE B, Nampa, ID 83686-6184
Phone: (208) 498-1700
Fax: (208) 498-1745

Authorised official

Name: Jorge a Martinez
Title: Owner
Phone: (208) 498-1700

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence M6114 (ID)

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1043374812
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 11 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.