JIMMY A MARTIN (O.D.) – Optometrist, NPI 1770551079

JIMMY A MARTIN (O.D.) is a healthcare provider. based in Amarillo, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 04122TG (TX). The NPI Number for JIMMY A MARTIN (O.D.) is 1770551079

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY A MARTIN (O.D.)
NPI
1770551079
Phone
(806) 355-5633
Address
3408 OLSEN BLVD
Enumeration Date
10 March 2006
Last Update Date
23 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063555633
Graduation Year
1989 (37 years ago)
PAC ID
7012049034
Group Practice PAC ID
0143495051
Professional Enrollment ID
I20100709000313
Address ID
TX791093017AM3408XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for JIMMY A MARTIN (O.D.)

  • Broome Optical, 3408, Olsen Boulevard, Amarillo, Potter County, Texas, 79109, United States

    AMARILLO, TX 791093017

    Phone: (806) 355-5633

    Fax: (806) 355-9133

    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 18 Open Payments records for all available years, with a total value of $595.

Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($200).

Total Amount

$595

General + Research + Ownership

Payments

18

Total payment records

General Amount

$595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2010-07-09

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
I20100709000313IOptometryTXTBD

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
92250Photography of the retina250244$0
99213Established patient office or other outpatient visit, 20-29 minutes162144$0
99214Established patient office or other outpatient visit, 30-39 minutes143134$0
99212Established patient office or other outpatient visit, 10-19 minutes11465$0
92012Established patient problem focused exam of visual system105101$0
View full utilization report →

Insurance plans in this area (ZIP 79109)

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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: 0143495051View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YNM

Reviews

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Frequently asked questions

Is JIMMY A MARTIN (O.D.) listed with a National Provider Identifier?
Yes — JIMMY A MARTIN (O.D.) has NPI 1770551079 on file in the registry.
Is JIMMY A MARTIN (O.D.) shown as active in public data?
Registry records indicate JIMMY A MARTIN (O.D.) maintains an active NPI.
What expertise is attributed to JIMMY A MARTIN (O.D.)?
JIMMY A MARTIN (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Texas is JIMMY A MARTIN (O.D.) registered?
Use Amarillo, Texas as the headline location for JIMMY A MARTIN (O.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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