Doctor Name: | MS. RHONDA LYNN MARTIN |
NPI Number: | 1154577864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED OPTICIAN |
License Number: | KY-1293 |
Business Practice Address: | 122 Stone Trace Dr Suite B Mt. Sterling, KY - 40353 |
Business Phone Number: | 8594972117 |
Business Fax Number: | 8594972542 |
Mailing Address: | 122 Stone Trace Dr, Suite B MT. STERLING |
State: | KY |
Postal Code: | 40353 |
Phone Number: | 8594972117 |
Fax Number: | 8594972542 |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | KY-1293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |