MEDICARE: DR. PIEPER RUTH MARTIN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2901	AR

General Provider Information

NPI Number	:	1861236291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIEPER RUTH MARTIN OD

Provider Business Mailing Address
First Line	:	3395 HWY 5 N
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72019-9097
Country	:	US
Telephone Number	:	501-847-9797
Fax Number	:	501-847-9798

Provider Business Practice Location Address
First Line	:	3395 HWY 5 N
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72019-9097
Country	:	US
Telephone Number	:	501-847-9797
Fax Number	:	501-847-9798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2024
Last Update Date	:	01/22/2026

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Directions to “ DR. PIEPER RUTH MARTIN OD” Practice Location

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