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DR. FREDERICK WARREN MARTIN O.D.
NPI 1245236496
Optometrist in Jellico, TN

Active since June 22, 2005
467 SUNSET TRL, JELLICO, TN 37762(423) 784-2020(423) 784-4940 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2019, Jul 12, 2017, May 11, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Frederick Warren Martin O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDERICK WARREN MARTIN O.D. (NPI 1245236496) is an individual optometrist in Jellico, Tennessee, licensed in Tennessee (OD3266) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1245236496
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. FREDERICK WARREN MARTINCredential: O.D.
Location Address467 SUNSET TRLJellico, TN 37762-2709
Mailing AddressPo Box 306Ferguson, KY 42533-0306 · (606) 492-2211 · Fax (606) 676-0873
Phone(423) 784-2020
Fax(423) 784-4940
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateDecember 3, 20194 updates tracked since enumeration
✔ NPI 1245236496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TN · OD3266
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
467 SUNSET TRL, Jellico, TN 37762
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Other Identifiers 8

Other4619KY · Avesis/medicaid
Other49606Bcbstn/bluecare/tenncare
Other000624846Humana
Medicaid1760573497KY
Medicaid4599125TN
Medicaid77008167KY
Other01257740Amerigroup
Other406171015KY · Railroad Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Martin's NPI number?

The NPI number for Frederick Martin is 1245236496. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Frederick Martin located?

Frederick Martin practices at 467 Sunset Trl, Jellico, TN 37762. The listed phone number is (423) 784-2020.

What is Frederick Martin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Frederick Martin was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.