DR. NICOLE AILEEN MARTIN (OD) – Optometrist, NPI 1417730508

DR. NICOLE AILEEN MARTIN (OD) is a healthcare provider. based in Greensburg, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004447A (IN). The NPI Number for DR. NICOLE AILEEN MARTIN (OD) is 1417730508

Main info

Female
3 Years Of Experience
Name
DR. NICOLE AILEEN MARTIN (OD)
NPI
1417730508
Phone
(812) 663-8405
Address
721 N LINCOLN ST
Enumeration Date
14 August 2023
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8126638405
Graduation Year
2023 (3 years ago)
PAC ID
9537522529
Group Practice PAC ID
0941333207
Professional Enrollment ID
I20230823002971
Address ID
IN472401328GR721XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for DR. NICOLE AILEEN MARTIN (OD)

  • 721 N LINCOLN ST

    GREENSBURG, IN 472401328

    Phone: (812) 663-8405

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: LKC Technologies, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LKC Technologies, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230823002971IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 47240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941333207View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What number should I use to identify DR. NICOLE AILEEN MARTIN (OD) for billing?
Administrative and clinical systems typically use NPI 1417730508 for DR. NICOLE AILEEN MARTIN (OD).
Quick check: is DR. NICOLE AILEEN MARTIN (OD) active?
Public NPPES data shows DR. NICOLE AILEEN MARTIN (OD) with an active NPI status right now.
Which specialty label fits DR. NICOLE AILEEN MARTIN (OD)?
NPPES ties DR. NICOLE AILEEN MARTIN (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. NICOLE AILEEN MARTIN (OD)?
DR. NICOLE AILEEN MARTIN (OD) is associated with Greensburg, Indiana in the same public data insurers reference.
Why is information missing for DR. NICOLE AILEEN MARTIN (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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