DR. Jace Dale Martin JR., O.D.

NPI #1518305440 in Old Hickory, Tennessee

Provider Information

NPI Number: 1518305440
Entity Type: Individual
Name: DR. Jace Dale Martin JR., O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 13, 2013
Last Updated: Oct 22, 2014

Practice Location

Address: 1644 STOKLEY LN
City: Old Hickory
State: Tennessee
ZIP Code: 37138-2356
Phone: (615) 310-5481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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