Jeffrey David Wine is a Optometrist in Mesa, Arizona. Jeffrey David Wine practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeffrey David Wine is 1609962323. The last update date is 2022-06-14.
Jeffrey David Wine's current location address is 2826 E Baseline Rd Ste 101, Mesa, Arizona. You can contact this provider via phone number 4806268925 and fax number 4807044036. The mailing address for Jeffrey David Wine is 2826 E Baseline Rd Ste 101, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey David Wine |
|---|---|
| Address | 2826 E Baseline Rd Ste 101, Mesa, Arizona |
| Phone Number | 4806268925 |
| Fax Number | 4807044036 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1609962323 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 2826 E Baseline Rd Ste 101 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852047282 |
| Phone Number | 4806268925 |
| Fax Number | 4807044036 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1544 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145725 | AZ | -- |
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What is the unique identification code assigned to Jeffrey David Wine by the Centers for Medicare & Medicaid Services?
The Jeffrey David Wine has been issued the NPI (National Provider Identifier) 1609962323. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey David Wine?
The Jeffrey David Wine is physically situated at 2826 E Baseline Rd Ste 101, in the city of Mesa, state of AZ, with the postal code 852047282.
What is Jeffrey David Wine's area of expertise and its corresponding taxonomy classification?
The Jeffrey David Wine's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jeffrey David Wine receive its 1609962323?
The Jeffrey David Wine was issued its 1609962323 on 2006-10-04, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeffrey David Wine most recently updated?
The details pertaining to the Jeffrey David Wine, including its address, specialty, and other relevant information, were last refreshed on 2022-06-14.
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