San Tan Eyecare Plc
Optometrist in Gilbert, AZ. Organization (NPI-2).
NPI number1114101136
StatusActive
Last updated in NPPESMar 7, 2012
Details
- NPI
- 1114101136
- Entity type
- Organization (NPI-2)
- Legal business name
- San Tan Eyecare Plc
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Mar 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1307 | AZ | Yes |
| 152W00000X | Optometrist | 349 | AZ |
Practice location
2680 S Val Vista DrSuite 111
Gilbert, AZ 85295-1606
Phone 480-807-0288 · Fax 480-290-7199
Mailing address
2680 S Val Vista DrSuite 111
Gilbert, AZ 85295-1606
Phone 480-807-0288 · Fax 480-290-7199
Authorized official
Jack L Hostetler
Member
4808070288
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All 90 Optometrist providers in Gilbert · All 7,856 providers in Gilbert
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