IndividualActive
Richard Martin, O.D.
NPI 1760458269 · Low Vision Rehabilitation Optometrist · Shasta Lake, CA
Provider details
- NPI number
- 1760458269
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8799T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4626 Shasta Dam Blvd
Shasta Lake, CA 96019-9414
Phone: (530) 275-0866
Fax: (530) 275-8551
Approximate (ZIP-level) locationGet directions
Mailing address
4626 Shasta Dam Blvd
Shasta Lake, CA 96019-9414
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2015-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.