Robert Edward Martin
Optometrist in Fayetteville, AR. Individual provider (NPI-1).
NPI number1619087939
StatusActive
Last updated in NPPESFeb 4, 2008
Details
- NPI
- 1619087939
- Entity type
- Individual (NPI-1)
- Name
- Robert Edward Martin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Feb 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2117 | AR | Yes |
Practice location
834 W North StFayetteville, AR 72701-1866
Phone 479-442-8961 · Fax 479-442-6440
Mailing address
834 W North StFayetteville, AR 72701-1866
Phone 479-442-8961 · Fax 479-442-6440
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All 70 Optometrist providers in Fayetteville · All 4,767 providers in Fayetteville
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