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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 349 | AZ | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 860439395 | 05 |
Street Address |
2680 S VAL VISTA DR #111 |
City | GILBERT |
State | AZ |
Zip Code | 85295-2152 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 85295 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
Find all providers in GILBERT |
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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.