Jean-Guy Bilodeau
Individual provider Active NPI Optometrist · Apache Junction, AZ
NPI 1124642871 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1124642871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT-002595 (AZ)
- Practice address
- 183 W Apache TRL Ste 101
Apache Junction, AZ 85120-3426 - Phone
- (480) 824-7360
- NPI assigned
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002595 | AZ | MD | Optometrist |
| 5801 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current |
Accepting new patients |
Locations
183 W Apache Trl
Ste 101
Apache Junction, AZ 85120
Phone (480) 824-7360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002595 | AZ | Yes |
| Optometrist | 152W00000X | 5801 | FL |
Addresses
Primary practice location
183 W Apache TRL Ste 101
Apache Junction, AZ 85120-3426
Mailing address
4084 E Catclaw St
Gilbert, AZ 85296-9542
Phone (954) 614-2092
Other practice location 1
2610 SE Federal Hwy
Stuart, FL 34994-4535
Phone (772) 403-0175
Other providers in Apache Junction, AZ
- Better Senior Carehome LLC
- Manu Bhakoo
- Nicholas Ryan Bibeau
- Big Star Empowerment
- John Arthur Bigler
- Tayler Elizabeth Bitter
- BKD Apache Junction Operator, LLC
- Blaze Pharmacy Dba Verra RX
- Fawn Boonstra
- Brian M Bouck
All providers in Apache Junction, AZ · Optometrist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.