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NPI Code Detail

MEDICARE: DR. SUNNI DAWN MARTIN OD

MEDICARE: DR. SUNNI DAWN 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
1152W00000XOptometristOPC6908FL

General Provider Information

NPI Number : 1437405768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNNI DAWN MARTIN OD
Provider Business Mailing Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 304-429-6755
Fax Number :
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 304-429-6755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 04/22/2026

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