| Dr Frederick Warren Martin, OD | |
|
467 Sunset Trl, Jellico, TN 37762-2709 | |
| (423) 784-2020 | |
| (423) 784-4940 |
| Full Name | Dr Frederick Warren Martin |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 467 Sunset Trl, Jellico, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245236496 | NPI | - | NPPES |
| 1760573497 | Medicaid | KY | |
| 01257740 | Other | AMERIGROUP | |
| 4619 | Other | KY | AVESIS/MEDICAID |
| 77008167 | Medicaid | KY | |
| 000624846 | Other | HUMANA | |
| 49606 | Other | BCBSTN/BLUECARE/TENNCARE | |
| 406171015 | Other | KY | RAILROAD MEDICARE |
| 4599125 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD3266 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Warren Martin, OD Po Box 306, Ferguson, KY 42533-0306 Ph: (606) 492-2211 | Dr Frederick Warren Martin, OD 467 Sunset Trl, Jellico, TN 37762-2709 Ph: (423) 784-2020 |
Matthew Testa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 467 Sunset Trl, Jellico, TN 37762 Phone: 423-784-2020 Fax: 423-784-4940 | |
Associates In Eye Care, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 467 Sunset Trail, Jellico, TN 37762 Phone: 423-784-2020 Fax: 423-784-4940 |