MR. SAMUEL KEITH MARTIN (NPI# 1730227349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730227349 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL KEITH MARTIN |
| Credential | LDO |
| Practice Address |
4135 Franklin Rd Roanoke VA 24018-5703 |
| Practice Telephone | 5407762933 |
| Practice Fax Number | 5407762932 |
| Mailing Telephone | 5407762933 |
| Mailing Fax Number | 5407762932 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
1129 | NC | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101001434 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184198343 | Samuel Martin | Genetic Counselor, MS | 18040 Via Bellamare Ln, Miromar Lakes, FL 33913-7606 | 2019-01-21 |
| 1679010532 | Samuel Martin | Behavioral Analyst | 3070 Nw 98th St, Miami, FL 33147-2060 | 2017-01-30 |
| 1881758324 | Samuel K Martin | Internal Medicine | Am Embassy Nairobi Mru, Apo, AE 09831-4109 | 2006-12-20 |
| 1225057979 | Samuel A. Martin Jr. | Optometrist | 201 A St, Farmville, VA 23901-1613 | 2006-07-19 |
| 1760002968 | Samuel Jeffrey Martin | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-17 |
| 1245882372 | Samuel Loeffelbein Martin | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-07-09 |
| 1316493513 | Samuel Maceo Martin Jr. | Pharmacist | 326 E Capitol St Ne, Washington, DC 20003-3809 | 2016-08-28 |
| 1083085302 | Samuel Martin | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2015-10-13 |
| 1598176034 | Samuel A Martin Iv | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2014-05-19 |
| 1467659953 | Samuel Gene Martin | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2007-06-28 |
| Street Address |
4135 FRANKLIN RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013993963 | Thomas Kent Wilcox | Optometrist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2005-12-21 |
| 1982863684 | National Optical | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2008-06-06 |
| 1417130964 | Neysa Angle Allen | Optometrist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2007-12-06 |
| 1649470154 | Leon Boro | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2007-07-23 |
| 1861527707 | National Optometric Center | Optometrist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2007-02-22 |
| 1154482420 | Sandra H Trent | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2006-12-12 |
| 1063504538 | Dr. Karen E. Boro and Associates | Optometrist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1518306539 | Stephen E Merricks | Technician/Technologist | 3405 Brambleton Ave, Roanoke, VA 24018-6519 | 2013-06-24 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1922339761 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1384 Towne Square Blvd Nw, Roanoke, VA 24012-1611 | 2010-01-19 |
| 1851441398 | Lynn Carlton Via | Technician/Technologist | 3555-a Electric Rd, Roanoke, VA 24018 | 2007-01-10 |
| 1568545283 | Diane N Etter | Technician/Technologist | 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 | 2006-10-24 |
| 1740257823 | National Optical | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2006-03-07 |
| 1669951034 | Usv Optical Inc. | Technician/Technologist | 1419 Hershberger Rd Nw, Roanoke, VA 24012-2225 | 2018-08-07 |
| 1023379658 | Norma Kaye Walker | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2012-05-30 |
| 1982863684 | National Optical | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2008-06-06 |
| Find all providers in ROANOKE | ||||
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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.