San Tan Eyecare Plc

NPI #1114101136 in Gilbert, Arizona

Provider Information

NPI Number: 1114101136
Entity Type: Organization
Organization Name: San Tan Eyecare Plc
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2007
Last Updated: Mar 7, 2012

Practice Location

Address: 2680 S VAL VISTA DR
Address 2: SUITE 111
City: Gilbert
State: Arizona
ZIP Code: 85295-1606
Phone: (480) 807-0288

Authorized Official

Name: DR. JACK L HOSTETLER, OD
Title: MEMBER
Phone: (480) 807-0288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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