IndividualActive
Angela Martin, OD
NPI 1598875049 · Vision Therapy Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1598875049
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4901004369 (MI)
Practice location
6617 Crossings Dr Se Ste 102
Grand Rapids, MI 49508-7378
Phone: (616) 541-7080
Fax: (616) 541-7088
Mailing address
6617 Crossings Dr Se Ste 102
Grand Rapids, MI 49508-7378
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2022-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.