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NPI Code Detail

MEDICARE: MARTEL EYE INSTITUTE LLC

MEDICARE: MARTEL EYE INSTITUTE LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1629376207
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTEL EYE INSTITUTE LLC
Provider Business Mailing Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number : 916-635-6161
Fax Number : 916-631-3788
Provider Business Practice Location Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number : 916-635-6161
Fax Number : 916-631-3788
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH R MARTEL
Credential : M.D.
Telephone Number : 916-631-7868
Provider Enumeration Date : 03/07/2011
Last Update Date : 07/21/2022

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Directions to “MARTEL EYE INSTITUTE LLC ” Practice Location

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