Jack L Hostetler (NPI# 1760486500, PAC ID# 6204856529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760486500 |
| PAC ID by PECOS | 6204856529 |
| Professional Enrollment ID | I20051201000649 |
| Full Name | Jack L Hostetler |
| Organization Legal Name | SAN TAN EYECARE PLC |
| Address |
2680 S Val Vista Dr Suite 111 Gilbert AZ 85295-1606 |
| Phone Number | 4808070288 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456420140 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2680 S Val Vista Dr, Suite 111, Gilbert, AZ 85295-1606 | 4808070288 | SAN TAN EYECARE PLC |
| Organization Legal Name | SAN TAN EYECARE PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Egan Wold | Optometry | San Tan Eyecare Plc | 2680 S Val Vista Dr, Suite 111, Gilbert, AZ 85295-1606 |
| Street Address |
2680 S VAL VISTA DR SUITE 111 |
| City | GILBERT |
| State | AZ |
| Zip | 85295-1606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Meeks | Certified Registered Nurse Anesthetist (crna) | Arizona Advanced Anesthesia LLC | 2680 S Val Vista Dr, Suite 127, Gilbert, AZ 85295-2155 |
| Jonathan Egan Wold | Optometry | San Tan Eyecare Plc | 2680 S Val Vista Dr, Suite 111, Gilbert, AZ 85295-1606 |
| Brooke E Wilson | Nurse Practitioner | Arizona Centers for Digestive Health Pllc | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2154 |
| Alysia D Reina | Certified Registered Nurse Anesthetist (crna) | Arizona Advanced Anesthesia LLC | 2680 S Val Vista Dr, Suite 127, Gilbert, AZ 85295-2155 |
| Mustafa Nawaz | Gastroenterology | Arizona Centers for Digestive Health Pllc | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2154 |
| Farhoud Khosravi | Gastroenterology | Arizona Centers for Digestive Health Pllc | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2154 |
| Patricia Wickham-monsegur | Certified Registered Nurse Anesthetist (crna) | Arizona Advanced Anesthesia LLC | 2680 S Val Vista Dr, Suite 127, Gilbert, AZ 85295-2155 |
| Mankanwal S Sachdev | Gastroenterology | Arizona Centers for Digestive Health Pllc | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2154 |
| Nelson H Lim | Gastroenterology | Arizona Centers for Digestive Health Pllc | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2154 |
| Jigna S Patel | Internal Medicine | Jigna Patel Md Pllc | 2680 S Val Vista Dr, Suite 131, Gilbert, AZ 85296-2155 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Labroff | Optometry | 2174 E Williams Field Rd, Suite 124, Gilbert, AZ 85295-0748 | |
| Morgan Lobe | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Rakeshkumar C Patel | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Olivia R Anderson | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Thomas Y Tsai | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Zachary Ortiz | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Karen M Trask | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Michelle Evelyn Gomez | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Cynthia M Armstrong | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Jenifer Clark | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Find all physicians in zip 85295 | |||
| City | GILBERT |
| Zip Code | 85295 |
| Specialty | OPTOMETRY |
| City + Specialty | GILBERT + OPTOMETRY |
Please comment or provide details below to improve the information on Jack L Hostetler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.