Individual provider Active NPI

Jody Lyn Dagan, OD

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1639128887
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1214 Issued in AZ
Practice address
3303 S Lindsay Rd
Ste 101
Gilbert, AZ 85296-6503
Phone
(480) 292-9835
Fax
(480) 292-9836
NPI assigned
May 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1214 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd
Ste 101
Gilbert, AZ 85296-6503

Mailing address

21821 N 40TH Way
Phoenix, AZ 85050-7235
Phone (480) 220-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000708 AZ Practitioner - Optometry 2567400765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experts on Sight, LLCGroup PAC ID 9032210562, 5 clinicians

Practice addresses (Care Compare)

3303 S Lindsay Rd
Suite 101
Gilbert, AZ 85297-1504
Phone (480) 292-9835

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1214AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Experts on Sight, LLC Optometrist CurrentSince Oct 14, 2010 Accepting new patients
Experts on Sight - Mesa LLC Optometrist PastSince Sep 11, 2022 Accepting new patients
National Vision, Inc. Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

3303 S Lindsay Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 292-9835

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639128887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21821 N 40TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507235",
            "telephone_number": "480-220-8970",
            "fax_number": "480-292-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD",
            "address_2": "STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966503",
            "telephone_number": "480-292-9835",
            "fax_number": "480-292-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGAN",
        "first_name": "JODY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.