Organization · NPI-2

Nationwide Optometry P.C.

Optometrist · Tempe, AZ

NPI number1326472945
StatusActive
Last updated in NPPESNov 8, 2023

Details

NPI
1326472945
Entity type
Organization (NPI-2)
Legal business name
Nationwide Optometry P.C.
Organization subpart
No
Enumeration date
Aug 30, 2013
Certification date
Nov 8, 2023
Last updated
Nov 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
156FX1800X Technician/Technologist, Optician––

Other names

  • Nationwide Vision (Doing Business As)

Practice location

2040 E Rio Salado Pkwy Ste 120
Tempe, AZ 85288-5185

Phone 480-966-4992 · Fax 480-966-7460

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903

Phone 480-961-1865 · Fax 480-893-8172

Authorized official

Jarrod Cross
President
5092010051

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