Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK WARREN MARTIN, O.D.
ActiveDR. FREDERICK WARREN MARTIN, O.D. is a Optometrist healthcare provider located in JELLICO, Tennessee. NPI 1245236496 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JELLICO, TN
Registration Details
- NPI Number
- 1245236496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (21.13300000728 yrs)
- Last Updated
- Dec 3, 2019
- License
-
OD3266 (TN)
Practice Information
- Address
-
467 SUNSET TRLJELLICO, TN, 377622709Browse TN providers · Browse ZIP 37762
- Phone
- 4237842020
- Fax
- 4237844940
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in JELLICO, TN
| Name | Credential | NPI |
|---|---|---|
| MATTHEW TESTA | OD | 1023674488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.