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Contact Information

KENNETH I MARTON, OD
2117 E GRAND RIVER AVE
LANSING, MI48912-3231
 Phone: 517-485-2213
 Fax: 517-485-2220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for KENNETH I MARTON · (Male)

NPI # 1336130012
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/02/2005
Last updated 06/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # KM002606
  • MI Medicaid 5060594
  • MI Other 900C36552 BCBS OF MICHIGAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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