Active NPI
Nationwide Vision Center, LLC
- Optician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- NATIONWIDE VISION CENTER, LLC
- Practice address
- 1781 E State Route 69
Suite 55
Prescott, AZ 86301-5666 - Phone
- (928) 776-3096
- Fax
- (928) 776-7917
- NPI assigned
- Nov 9, 2006
- Last updated
- Dec 16, 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
1781 E State Route 69
Suite 55
Prescott, AZ 86301-5666
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.
Practitioners & affiliated clinicians
Practitioners 2
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
-
- Optometrist
- Prescott, AZ
- NPI 1649238346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1376613976",
"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": "1781 E STATE ROUTE 69",
"address_2": "SUITE 55",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863015666",
"telephone_number": "928-776-3096",
"fax_number": "928-776-7917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE VISION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"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 Prescott, AZ
- Mary Eileen Nashert, NP
- Natalie Webber PLLC (Natalie Webber Counseling)
- Stephen David Nathenson, PHARMACIST
- National Cardiovascular Associates, LLC (Peak Heart & Vascular)
- National Vision, Inc.
- Marjorie Kay Navarrd, LMT
- Julie A Nave, LPC
- Naz Hospitalists Inc (NAZ Hospitalists PC)
- Nazcare - New Hope Wellness Center
- Salese Jenea Nealy, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.