Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Michelle Marie Martin, OD

Individual provider Optometrist · NPI 1386652907

Mrs. Michelle Marie Martin, OD is an Optometry in Maple Grove, Minnesota. Graduated from Indiana University - School of Optometry in 2006, 20 years ago. Practices with Bass Lake Family Eye Care Inc, a 2-clinician group. Licensed in Minnesota.

Years since qualifying
20
Trained at
Indiana University - School of Optometry
Licensed in
MN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12750 Bass Lake Rd
Maple Grove, MN 55369-6307
Phone: (763) 553-1811
Fax: (763) 553-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3053 (MN)

Record details

NPI number1386652907
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESSeptember 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Bass Lake Family Eye Care Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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