San Tan Eyecare Plc

LBN: San Tan Eyecare Plc
San Tan Eyecare Plc is an health care organization with primary practice located at 2680 S Val Vista Dr Suite 111, Gilbert AZ 85295-1606. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. San Tan Eyecare Plc can be contacted via phone (480) 807-0288, or through Hostetler, Jack L via phone (480) 807-0288.

Contact Information

Primary practice address
2680 S Val Vista Dr Suite 111 Gilbert AZ 85295-1606
Phone: (480) 807-0288
Fax: (480) 290-7199
Website:
Map and Directions
Authorized official contact:
Name: Hostetler, Jack L Doctor of Optometry (OD)
Phone: (480) 807-0288

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1307 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 349 Arizona

Profile Details

NPI number 1114101136
LBN Legal business name San Tan Eyecare Plc
DBA Doing business as
Authorized official Hostetler, Jack L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Mar 7th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114101136 NPPES
Arizona Other 0917440001 DMERC

Popular Providers