DR. GERONIMO MARTEN-ELLIS (NPI# 1467538322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467538322 |
| Entity Type | Individual |
| Full Name | DR. GERONIMO MARTEN-ELLIS |
| Credential | OD |
| Practice Address |
620-c Ft.hood.rd. Killeen TX 76541 |
| Mailing Address |
Po Box 2020 Harker Heights TX 76548-0020 |
| Practice Telephone | 2542001010 |
| Practice Fax Number | 2542139315 |
| Mailing Telephone | 2542001010 |
| Mailing Fax Number | 2542139315 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2930T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD TX | 00E83Z | 01 |
| TX | SCOTT&WHITE | 286426 | 01 |
| TX | COLE VISION/EYEMED | 930417 | 01 |
| TX | SUPERIOR HEALTH PLAN | 19823 | 01 |
| TX | TRICARE PRIME | 751861475 | 01 |
| TX | 019810301 | 05 | |
| TX | FIRSTCARE | 128218100 | 01 |
| TX | SAFEGUARD | 55635 | 01 |
| TX | ITPE | 751861475 | 01 |
| Street Address |
620-C FT.HOOD.RD. |
| City | KILLEEN |
| State | TX |
| Zip Code | 76541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1942723218 | Madeline Y Chung | Acupuncturist | 201 N Gray St #a, Killeen, TX 76541 | 2017-07-19 |
| 1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
| 1285039289 | Greater Killeen Free Clinic | Clinic/Center | 718 N 2nd Str, Suite A, Killeen, TX 76541 | 2014-11-03 |
| 1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
| 1952618258 | Mbs Wellness Chiropractic Center | Clinic/Center | 300 West Central Texas Expressway, Killeen, TX 76541 | 2010-09-08 |
| 1134369804 | Adrianne B Scanlon | Occupational Therapist | 605 Donne, Killeen, TX 76541 | 2009-02-20 |
| 1306962337 | Karen Venhuizen | Speech-Language Pathologist | 882 Fort Hood Road, Suite 1050, Killeen, TX 76541 | 2007-03-21 |
| 1184759714 | Eleanor L. Melville | Social Worker | 1805 Florence Road, Suite 10, Killeen, TX 76541 | 2007-02-23 |
| 1962545491 | Matthew Michael Williams | Counselor | 1711 E Central Texas Expy Ste 300i, Killeen, TX 76541 | 2007-02-15 |
| Find all providers in zip 76541 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1003387556 | Vision Performance Institute, LLC | Optometrist | 3917 E Stan Schlueter Loop, Killeen, TX 76542-4656 | 2018-12-10 |
| 1710495957 | Daniel & Max LLC | Optometrist | 1801 E Central Texas Expy, Killeen, TX 76543-5347 | 2018-01-22 |
| 1205971512 | Charles R. Sturtevant | Optometrist | 2100 S W S Young Dr, Suite 1000a, Killeen, TX 76543-5352 | 2007-02-21 |
| 1477629814 | Michael Joseph Moses | Optometrist | 4104 E Stan Schlueter Loop Ste 6, Killeen, TX 76542-7873 | 2006-11-28 |
| 1801975511 | Charles M Stephens | Optometrist | 2501 S W S Young Dr, Suite 105, Killeen, TX 76542-2003 | 2006-11-03 |
| 1407950041 | Gary Alvis Seal | Optometrist | 416 North Gray St, Killeen Eyecare Center, Killeen, TX 76541 | 2006-09-12 |
| 1679596837 | John Doran Deapen | Optometrist | 1106 S W S Young Dr, Killeen, TX 76543-4881 | 2006-07-26 |
| 1356369458 | Thomas Allen Lucas Jr. | Optometrist | 2102 South W.s. Young Dr., Killeen, TX 76543-5364 | 2006-07-17 |
| 1669419669 | Killeen Eye Care, P.a. | Optometrist | 2102 South Young Dr., Killeen, TX 76543 | 2006-05-31 |
| Find all providers in KILLEEN | ||||
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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.