NPI 1003841420

Stanley R Martin, OD

Practitioner Optometrist Mc Minnville, TN

Practice location

Address: 231 Northgate Dr Suite 106, Mc Minnville, TN 37110-1426
Phone: (931) 473-1986
Fax: (931) 473-1334

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD1185T (TN)

Other Optometrist providers in Tennessee →

Registry record

NPI: 1003841420
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 25 Sep 2013

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.