NPIMap

Organization Active NPI

San Tan Eye Care PLC

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1972765907
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
349 Issued in AZ
Legal business name
SAN TAN EYE CARE PLC
Practice address
2680 S Val Vista Dr
11
Gilbert, AZ 85295-2152
Phone
(480) 807-0288
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Jack L Hostetler, OPNPI 1760486500
Title
Member
Phone
(480) 807-0288

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 349 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr
11
Gilbert, AZ 85295-2152

Mailing address

2680 S Val Vista
111
Gilbert, AZ 85295-1606
Phone (480) 807-0288

Other identifiers 1

IdentifierTypeStateIssuer
T41753OtherAZUPIN

National Provider Directory

National Provider Directory

Locations

2680 S Val Vista Dr
#11
Gilbert, AZ 85295
Phone (480) 807-0288

2680 S Val Vista Dr
Ste 111
Gilbert, AZ 85295
Phone (480) 648-0950

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1972765907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA",
            "address_2": "111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "480-807-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "11",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-807-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN EYE CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-807-0288",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T41753",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.