IndividualActive
Augustine Martinez, LDO
NPI 1295539161 · Optician · Phoenix, AZ
Provider details
- NPI number
- 1295539161
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDO-003352 (AZ)
Mailing address
6150 S 35th Ave
Phoenix, AZ 85041-5004
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.