Eleanor Cherie Martin, LDO/ABO
Technician/Technologist, Optician in Chesapeake, VA. Individual provider (NPI-1).
NPI number1184440232
StatusActive
Last updated in NPPESNov 22, 2024
Details
- NPI
- 1184440232
- Entity type
- Individual (NPI-1)
- Name
- Eleanor Cherie Martin
- Credential
- LDO/ABO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2024
- Certification date
- Nov 22, 2024
- Last updated
- Nov 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
2448 Chesapeake Square Ring RdChesapeake, VA 23321-2173
Phone 757-488-6916 · Fax 757-465-2030
Mailing address
2401 Ballahack RdChesapeake, VA 23322-2860
Phone 757-342-8580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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