AMBER LYNN MARTIN, COA — NPI 1871701946 (Licensed & Credentialed Technician/Technologist, Ophthalmic Assistant in LACKLAND A F B, TX)

CMS-1500 Box 24J / 33a • NPI

1871701946

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

156FX1101X

Licensed & Credentialed Technician/Technologist, Ophthalmic Assistant

Box 32 Service Location & ZIP+4

2200 BERGQUIST DR, LACKLAND A F B, TX, 78236-9907

✓ 9-Digit EDI 837 ZIP+4 (78236-9907)

Practice Phone & Referral Fax

(210) 292-2010

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871701946 (AMBER LYNN MARTIN, COA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871701946` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMBER LYNN MARTIN, COA
Plain-English Specialty	Licensed & Credentialed Technician/Technologist, Ophthalmic Assistant NUCC Code: `156FX1101X` (Technician/Technologist, Ophthalmic Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2200 BERGQUIST DR, LACKLAND A F B, TX, 78236-9907
Practice Telephone / Fax	Tel: (210) 292-2010
Administrative Mailing Address	159 COUNTY ROAD 675, DEVINE, TX, 78016-4633
Enumeration & Last Sync	Enumerated: 2007-05-20 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2200 BERGQUIST DR, LACKLAND A F B, TX, 78236-9907

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Plain-English Taxonomy & CMS Crosswalk (156FX1101X)

What Does Taxonomy Code 156FX1101X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156FX1101X translates to:
"Licensed & Credentialed Technician/Technologist, Ophthalmic Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician/Technologist, Ophthalmic Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMBER LYNN MARTIN, COA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156FX1101X` — Technician/Technologist, Ophthalmic Assistant Plain English: Licensed & Credentialed Technician/Technologist, Ophthalmic Assistant	State: TX \| License: `134435` \| Primary: Yes (Primary)

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AMBER LYNN MARTIN, COA (NPI #1871701946)