Nationwide Vision Center, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

NATIONWIDE VISION CENTER, LLC

Practice address

4510 E Cactus Rd
Inside Jcpenney
Phoenix, AZ 85032-7702

Phone

(602) 996-6833

NPI assigned

May 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Pravoot Gira, MD

Title

Chief Medical Officer

Phone

(314) 909-0633

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1053767939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E CACTUS RD",
            "address_2": "INSIDE JCPENNEY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327702",
            "telephone_number": "602-996-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "314-909-0633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nationwide Optometry P.C. (Nationwide Vision)
• Nationwide Optometry P.C. (Nationwide Vision)
• Nationwide Optometry P.C. (Nationwide Vision)
• Nationwide Optometry P.C. (Nationwide Vision)
• Nationwide Optometry P.C. (Nationwide Vision)
• Nationwide Vision Center, LLC
• Nationwide Vision Center, LLC
• Nationwide Vision Center, LLC
• Nationwide Vision Center, LLC
• Nationwide Vision Center, LLC

• Optician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.