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

Richard Dane Martin, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215516646

Richard Dane Martin, OD is an Optometry in Madison, Wisconsin. Graduated from Pacific University - College of Optometry in 2021, 5 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
Pacific University - College of Optometry
Licensed in
WI
In the registry since
2021
Specialties on file
2
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

1 S Park St
Madison, WI 53715-1375
Phone: (608) 916-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Regent St, Madison, WI 53715-1248 — (608) 282-2000

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3680-35 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215516646
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 4, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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