Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK L HOSTETLER, O.D.
DeactivatedJACK L HOSTETLER, O.D. is a Optometrist healthcare provider located in GILBERT, Arizona. NPI 1760486500 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · GILBERT, AZ
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1760486500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (0.78082191780822 yrs)
- Last Updated
- Jun 25, 2008
- Deactivated
- Mar 21, 2006
- License
-
349 (AZ)
Practice Information
- Address
-
2680 S VAL VISTA DR#111GILBERT, AZ, 852952152Browse AZ providers · Browse ZIP 85295
- Phone
- 4808070288
- Fax
- 4802997199
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. JASON S BAILEY | OD | 1295737625 |
| DR. PAUL L WOOLF OPTOMETRIST PC | O.D. | 1609868868 |
| DR. JUSTIN JONES | O.D. | 1942297338 |
| DR. RICHARD WOOD | O.D. | 1972591105 |
| DR. JONATHAN EGAN WOLD | OD | 1023092228 |
| DR. AMY MICHELLE LEE | O.D. | 1407830029 |
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.