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NPI 1295539161

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)

Practice location

6150 S 35th Ave

Phoenix, AZ 85041-5004

Phone: (602) 243-8523

More AZ providers

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.

Augustine Martinez, LDO — NPI 1295539161, Phoenix, AZ | NPI Central