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Contact Information

JORGE A. MARTINEZ, MD, PA
1615 12TH AVE RD STE B
NAMPA, ID83686-6184
 Phone: 208-498-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JORGE A. MARTINEZ, MD, PA

NPI # 1972525947
LBN Legal business name JORGE A. MARTINEZ, MD, PA
Authorized official RENEE ROBLING - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 07/21/2008 - About 18 years ago
Identifiers
ID Other 8L691 BLUE CROSS
ID Other DD3339 RAILROAD MEDICARE
ID Other 000010150557 REGENCE BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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