Provider Demographics
NPI:1730318197
Name:MARTENS, NADIA (OD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:MARTENS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 RIOJO WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6965
Mailing Address - Country:US
Mailing Address - Phone:916-983-9166
Mailing Address - Fax:
Practice Address - Street 1:1018 RILEY ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3268
Practice Address - Country:US
Practice Address - Phone:916-983-9166
Practice Address - Fax:916-983-6635
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT13741TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist