NPI 1093031726

Stephen K Martin, OD

Practitioner Optometrist Midvale, UT

Practice location

Address: 22 W. 7200 S., Midvale, UT 84047
Phone: (801) 561-1300

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 7710117-8909 (UT)

Other Optometrist providers in Utah →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 7710117-993 (UT)

Registry record

NPI: 1093031726
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2010
Record last updated: 14 Mar 2011

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.