Trent W. Martin OD
Optometrist in Jackson, TN(View on Map)
Full Name
Trent Wayne Martin OD
NPI Number
1023504818
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/05/2018
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
3468
Contact
Information
Purpose
Mailing
Location
Address
113 CORTEZ CV
1296 UNION UNIVERSITY DR STE B
City
Dyersburg
Jackson
State
TN
TN
Postal Code
38024-8490
38305-3714
Country
US
US
Telephone Number
(731) 610-0858
(731) 513-5755
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/26/2021
Provider Address
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