JACK L HOSTETLER


Address: 2680 S Val Vista Dr, #111, Gilbert, AZ 85295-2152
Phone: 4808070288

JACK L HOSTETLER (NPI# 1760486500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760486500
Entity Type Individual
Full Name JACK L HOSTETLER
Credential O.D.
Practice Address 2680 S Val Vista Dr
#111
Gilbert
AZ 85295-2152
Practice Telephone 4808070288
Practice Fax Number 4802997199
Mailing Telephone 4808070288
Mailing Fax Number 4802997199
Enumeration Date 2005-06-09
Last Update Date 2008-06-25
NPI Deactivation Date 03/21/2006
NPI Reactivation Date 2006-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 349 AZ Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 860439395 05

Office Location

Street Address 2680 S VAL VISTA DR
#111
City GILBERT
State AZ
Zip Code 85295-2152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861939530 Lauara Uhl Physician Assistant 2680 S Val Vista Dr, Ste 175, Gilbert, AZ 85295-2152 2017-01-19
1396292728 Rachel Salcedo Nurse Practitioner 2680 S Val Vista Dr, Building 4 Suite 116, Gilbert, AZ 85295-2152 2016-09-01
1023461746 Jole-lanee Guido Nurse Practitioner 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2152 2016-07-18
1881040053 Ab Med, LLC Specialist 2680 S Val Vista Dr, Suite 152, Gilbert, AZ 85295-2152 2016-05-06
1720478019 Total Eyecare Centers, Pllc Optometrist 2680 S Val Vista Dr, Suite 111, Gilbert, AZ 85295-2152 2015-01-26
1316281967 The Core Institute Spine Center Gilbert Pain Medicine 2680 S Val Vista Dr, Building 9, Suite 146, Gilbert, AZ 85295-2152 2012-11-20
1134479892 Arizona Advanced Anesthesia LLC Anesthesiology 2680 S Val Vista Dr, Suite #127, Gilbert, AZ 85295-2152 2012-09-10
1093085904 Arizona Advanced Endoscopy LLC Clinic/Center 2680 S Val Vista Dr, Suite 127, Gilbert, AZ 85295-2152 2012-01-09
1174810766 Renovo Clinic Clinic/Center 2680 S Val Vista Dr, Suite 187, Gilbert, AZ 85295-2152 2011-07-01
1073820106 Jennifer M Krause Audiologist 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 2010-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508471368 Lifequest Holding Company Gilbert, LLC Physical Medicine & Rehabilitation 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 2020-09-09
1255946075 Lifequest Physical Medicine and Rehab Physical Medicine & Rehabilitation 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 2020-09-09
1407467962 Lifequest Physical Medicine and Rehab Physical Medicine & Rehabilitation 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 2020-08-10
1275187718 Guylene Lucien Nurse Practitioner 1689 S. Parkcrest Street, Gilbert, AZ 85295 2019-08-01
1326607144 Hand Up Behavioral Services, LLC Community/Behavioral Health 4145 East Megan Street, Gilbert, AZ 85295 2019-06-06
1629582069 Victoria Munoz Garcia Naturopath 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 2017-11-21
1649798752 Eureka Imperial Residence Clinic/Center 633 E Ray Road, Gilbert, AZ 85295 2017-09-08
1447791496 Janine Patrice Faux Counselor 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 2017-03-10
1437690450 Erskine & Barber LLC Clinic/Center 5656 S. Power Rd #129, Gilbert, AZ 85295 2017-03-09
1164965448 New Horizon Youth Homes, Inc. Residential Treatment Facility, Emotionally Disturbed Children 774 E. Buffalo St, Chandler, AZ 85295 2016-11-18
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902445604 Mvp.vision Optometrist 1780 E Boston St Ste 101, Gilbert, AZ 85295-6246 2019-12-27
1750946463 National Vision Inc Optometrist 2649 S Market St Ste 101, Gilbert, AZ 85295-1301 2019-05-08
1740795368 West Point Optical Group Optometrist 2475 S Val Vista Dr Ste C, Gilbert, AZ 85295-2149 2017-12-05
1346766698 Charles Stanley Bailey Optometrist 3098 E. Waterman Way, Gilbert, AZ 85297 2017-08-18
1881117711 Jeevan Sandhu Optometrist 1672 E Guadalupe Rd Ste 111, Gilbert, AZ 85234-8167 2017-07-23
1467980904 Joseph Lewis Brewer Optometrist 2676 S Tucana Ct, Gilbert, AZ 85295-1450 2017-05-29
1457703191 Matthew Fierro Optometrist 2156 E Williams Field Rd Ste 104, Gilbert, AZ 85295-0733 2016-07-06
1255754438 David Diaz Optometrist 2156 E. Williams Field Rd., #104, Gilbert, AZ 85296 2014-01-24
1437586005 Eyedeology Vision Center Pllc Optometrist 690 E Warner Rd Ste 128, Gilbert, AZ 85296-3057 2013-09-27
1588948616 Visionary Eyecare PC Optometrist 2894 E Waterman Ct, Gilbert, AZ 85297-7610 2011-10-07
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Competitor

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City GILBERT
Zip Code 85295

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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