Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY DAVID WINE, OD
Active Sole ProprietorDR. JEFFREY DAVID WINE, OD is a Optometrist healthcare provider located in MESA, Arizona. NPI 1609962323 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MESA, AZ
Registration Details
- NPI Number
- 1609962323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.849591762744 yrs)
- Last Updated
- Jun 14, 2022
- License
-
1544 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2826 E BASELINE RD STE 101MESA, AZ, 852047282Browse AZ providers · Browse ZIP 85204
- Phone
- 4806268925
- Fax
- 4807044036
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DAWN MICHELLE MARTIN | O.D | 1033115886 |
| DR. MARY MCGEHEE | O.D. | 1841298338 |
| DR. FRED NMN FISCH | O.D. | 1003814419 |
| DR. HEATHER R BETSKO | O.D. | 1841287364 |
| DR. BRYAN BLARE | O.D. | 1063409548 |
| DR. EDWARD FRANTSVOG | O.D. | 1609863067 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.