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Theresa Yvonne Martinez, ABOC, NCLEC

Technician/Technologist, Optician in Port Charlotte, FL. Individual provider (NPI-1).

NPI number1548099005
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1548099005
Entity type
Individual (NPI-1)
Name
Mrs. Theresa Yvonne Martinez
Credential
ABOC, NCLEC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2024
Certification date
Jul 31, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO5304FLYes

Practice location

19100 Murdock Cir
Vision Center
Port Charlotte, FL 33948-1022

Phone 941-625-7437

Mailing address

3238 Garbett Ter
North Port, FL 34288-8794

Phone 941-920-8639

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