Active NPI
Nationwide Optometry P.C.
Doing business as Nationwide Vision
- Optometrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NATIONWIDE OPTOMETRY P.C.
- Doing business as
- Nationwide Vision
- Practice address
- 610 E Baseline Rd Ste C3B
Phoenix, AZ 85042-6536 - Phone
- (602) 269-9771
- Fax
- (602) 268-0899
- NPI assigned
- Nov 10, 2006
- Last updated
- Nov 14, 2024
- 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
- Jarrod Cross, OD
- Title
- President
- Phone
- (509) 201-0051
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
610 E Baseline Rd Ste C3B
Phoenix, AZ 85042-6536
Mailing address
955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865
Other names 1
- Nationwide Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| 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 |
| O20250108000968 | AZ | DME Supplier - Physician - Optometrist | 6901033075 | Practice locations: Phoenix, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Nationwide Vision | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
610 E Baseline Rd
Ste C3B
Phoenix, AZ 85042
Phone (602) 269-9771
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Tucson, AZ
- NPI 1477881522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1780755074",
"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": "610 E BASELINE RD STE C3B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426536",
"telephone_number": "602-269-9771",
"fax_number": "602-268-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE OPTOMETRY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nationwide Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Optometry P.C. (Nationwide Vision)
- Nationwide Vision Center, LLC
- Nationwide Vision Center, LLC
- Nationwide Vision Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.