ROBERT LYNN MARTELLARO (NPI# 1457417586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457417586 |
| Entity Type | Individual |
| Full Name | ROBERT LYNN MARTELLARO |
| Credential | OPTICIAN |
| Practice Address |
9211 W Center St Milwaukee WI 53222-4516 |
| Mailing Address |
2644 N 93rd St Wauwatosa WI 53226-1705 |
| Practice Telephone | 4147713250 |
| Mailing Telephone | 4144760113 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
9211 W CENTER ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1649464124 | Everette Bronze Quinton | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2366 | 2007-08-28 |
| 1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
| 1538207717 | Wisconsin Vision, Inc | Technician/Technologist | 7528 W Burleigh St, Milwaukee, WI 53210-1030 | 2007-02-01 |
| 1114008109 | Wal-mart Stores East, Lp | Technician/Technologist | 8700 N Servite Dr, Milwaukee, WI 53223-2516 | 2006-10-18 |
| 1770664864 | Wal-mart Stores East, Lp | Technician/Technologist | 5825 W. Hope Avenue, Milwaukee, WI 53216 | 2006-10-17 |
| 1790880920 | Sam's Club Optical | Technician/Technologist | 7701 W Calumet Rd, Milwaukee, WI 53223-3907 | 2006-09-13 |
| 1336788942 | Timothy Moss | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2639 | 2019-12-30 |
| 1326683996 | Quality Optical LLC | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-11-07 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.