Healthcare Provider Details

I. General information

NPI: 1871429969
Provider Name (Legal Business Name): LAUREN CARY MARTINEZ OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 WALZEM RD
WINDCREST TX
78218-2118
US

IV. Provider business mailing address

216 LAS PALMAS DR
MERCEDES TX
78570-4301
US

V. Phone/Fax

Practice location:
  • Phone: 956-684-9165
  • Fax:
Mailing address:
  • Phone: 956-684-9165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11613
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: