Active NPI
Nationwide Vision Center, LLC
- Optician
- Apache Junction, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- NATIONWIDE VISION CENTER, LLC
- Practice address
- 10735 E Apache TRL Ste 107
Apache Junction, AZ 85120-3316 - Phone
- (480) 354-7976
- Fax
- (480) 354-8001
- NPI assigned
- Nov 10, 2006
- Last updated
- Dec 15, 2022
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
10735 E Apache TRL Ste 107
Apache Junction, AZ 85120-3316
Mailing address
955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131217000251 | AZ | Part B Supplier - Clinic/Group Practice | 6901033075 |
Receives reassigned benefits from 131 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Des Peres, MO
- NPI 1861481152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1114098597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852104903",
"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": "10735 E APACHE TRL STE 107",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851203316",
"telephone_number": "480-354-7976",
"fax_number": "480-354-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE VISION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"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": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
- My Home LLC (Self-Employed)
- Thomas Michael Nagle, PA-C
- Deepthi Reddy Narala, MD
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nazcare, Inc. - Rising Star Wellness Center
- Nichole Beulah Nesbitt
- Nextcare Arizona LLC (NextCare Urgent Care)
- Casey Dan Nguyen, PHARMD
- Janelle L Novick, NP
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.