Nationwide Optometry P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NATIONWIDE OPTOMETRY P.C.

Practice address

8812 E Broadway Blvd
Tucson, AZ 85710-4035

Phone

(520) 296-8200

Fax

(520) 296-8282

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nationwide Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nationwide Vision Center, LLC

  • Optician
  • Mesa, AZ
  • NPI 1205995388

  O20031126000599

  Same enrollment

These 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Polonski, MD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1871674507
  NPD
• Eric Ruta, O.D.

  • Optometrist
  • Glendale, AZ
  • NPI 1639167083
  NPD
• Ovette Villavicencio, M.D, PH.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1972814374
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1871663864",
    "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": "8812 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104035",
            "telephone_number": "520-296-8200",
            "fax_number": "520-296-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "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"
        }
    ]
}

• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Nationwide Optometry PC
• Nationwide Vision Center
• Nationwide Vision Center, Inc.

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

• 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.

Verify at the official NPI Registry.