Richard Dane Martin, OD

NPI #1215516646 in Dodgeville, Wisconsin

Provider Information

NPI Number: 1215516646
Entity Type: Individual
Name: Richard Dane Martin, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 4, 2021
Last Updated: Nov 14, 2023

Practice Location

Address: 305 ELAINES CT
City: Dodgeville
State: Wisconsin
ZIP Code: 53533-2103
Phone: (608) 930-4362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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