Jesse Junttila, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002742 Issued in AZ

Practice address

1703 W Bethany Home Rd Ste C3
Phoenix, AZ 85015-7066

Phone

(602) 944-2444

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Phoenix, AZ
  • NPI 1740212349
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1316722549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E MCDOWELL RD APT 1007",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573553",
            "telephone_number": "906-231-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W BETHANY HOME RD STE C3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850157066",
            "telephone_number": "602-944-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTTILA",
        "first_name": "JESSE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juniper Psychology, PLLC (Vitae Felix)
• Jordan Anne Junk, DPT, PT
• Haley Anne Junkermann
• Patricia Junkin
• Juno Healthcare-Arizona LLC
• Jordan S Jurek, RD
• Hannah Carita Jurekovic-England, PMHNP-BC
• Carlie Enette Jurgens, OTD
• Alyssa Jurgensmeier
• Kristen Jurgenson, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.