NPIMap

Organization Active NPI

Nationwide Optometry P.C.

Doing business as Nationwide Vision

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1326472945
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NATIONWIDE OPTOMETRY P.C.
Doing business as
Nationwide Vision
Practice address
2040 E Rio Salado Pkwy Ste 120
Tempe, AZ 85288-5185
Phone
(480) 966-4992
Fax
(480) 966-7460
NPI assigned
Aug 30, 2013
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Jarrod Cross, ODNPI 1477881522
Title
President
Phone
(509) 201-0051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Optician 156FX1800X

Addresses

Primary practice location

2040 E Rio Salado Pkwy Ste 120
Tempe, AZ 85288-5185

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Other names 1

  • Nationwide Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131217000251 AZ Part B Supplier - Clinic/Group Practice 6901033075 Receives reassigned benefits from 131 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Nationwide Optometry PC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

115 E Williams Field Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 732-7895

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

1950 E University Dr
Mesa, AZ 85203
Phone (480) 844-7097

24654 N Lake Pleasant Pkwy
Ste 102
Peoria, AZ 85383
Phone (623) 825-0334

1820 N 75th Ave
Ste 102
Phoenix, AZ 85035
Phone (623) 849-0428

24921 S Ellsworth Rd
Ste 140
Queen Creek, AZ 85142
Phone (480) 564-2682

15560 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260
Phone (480) 661-8733

5551 S White Mountain Rd
Unit 3
Show Low, AZ 85901
Phone (928) 537-5110

8812 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 296-8200

Practitioners & affiliated clinicians

Practitioners 145

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.

View all 145

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1326472945",
    "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": "2040 E RIO SALADO PKWY STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852885185",
            "telephone_number": "480-966-4992",
            "fax_number": "480-966-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-201-0051",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nationwide Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.

Verify at the official NPI Registry.