Eyes On Site Pllc

NPI #1013163005 in Mesa, Arizona

Provider Information

NPI Number: 1013163005
Entity Type: Organization
Organization Name: Eyes On Site Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 11, 2008
Last Updated: Jun 20, 2022

Practice Location

Address: 2826 E BASELINE RD STE 101
City: Mesa
State: Arizona
ZIP Code: 85204-7282
Phone: (480) 626-8925

Authorized Official

Name: DR. JEFFREY DAVID WINE, OD
Title: OWNER
Phone: (480) 626-8925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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