Organization Active NPI

Experts on Sight - Mesa LLC

Doing business as Abbott Eye Care A Division of Experts On Sight

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1912628900
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EXPERTS ON SIGHT - MESA LLC
Doing business as
Abbott Eye Care A Division of Experts On Sight
Practice address
1919 E McKellips Rd Ste 103
Mesa, AZ 85203-2855
Phone
(480) 844-2286
Fax
(480) 610-6641
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Jody Dagan, ODNPI 1639128887
Title
Co-Owner/OD
Phone
(480) 292-9835

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1919 E McKellips Rd Ste 103
Mesa, AZ 85203-2855

Mailing address

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

Other names 1

  • Abbott Eye Care A Division of Experts On Sight Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1912628900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971504",
            "telephone_number": "480-292-9835",
            "fax_number": "480-292-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E MCKELLIPS RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032855",
            "telephone_number": "480-844-2286",
            "fax_number": "480-610-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERTS ON SIGHT - MESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DAGAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CO-OWNER/OD",
        "authorized_official_telephone_number": "480-292-9835",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbott Eye Care A Division of Experts On Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.