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1033115886 NPI number — DAWN MICHELLE MARTIN O.D

NPI Number: 1033115886
Health Care Provider/Practitioner: DAWN MICHELLE MARTIN O.D

Information about “1033115886” NPI (DAWN MICHELLE MARTIN O.D) exists in 1033115886 in HTML format HTML  |  1033115886 in plain Text format TXT  |  1033115886 in PDF (Portable Document Format) PDF  |  1033115886 in an XML format XML  formats.

NPI Number : 1033115886 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033115886",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "DAWN",
    "MiddleName": "MICHELLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8614 WESTWOOD CENTER DR FL 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIENNA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22182-2442",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-847-8899",
    "MailingAddressFaxNumber": "571-223-6780",
    "FirstLinePracticeLocationAddress": "6343 E MAIN ST STE 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MESA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85205-8955",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-832-0030",
    "PracticeLocationAddressFaxNumber": "480-924-7268",
    "EnumerationDate": "06/27/2005",
    "LastUpdateDate": "01/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "OPT-000815",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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