DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NATIONWIDE VISION CENTER, INC.

MEDICARE: NATIONWIDE VISION CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOpticianAZ

General Provider Information

NPI Number : 1336593656
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONWIDE VISION CENTER, INC.
Provider Business Mailing Address
First Line : 955 W SOUTHERN AVE STE 101
Second Line :
City : MESA
State : AZ
Zip : 85210-4903
Country : US
Telephone Number : 480-961-1865
Fax Number : 480-893-8172
Provider Business Practice Location Address
First Line : 5651 HIGHWAY 95 N
Second Line : INSIDE JCPENNEY
City : LAKE HAVASU CITY
State : AZ
Zip : 86404-9646
Country : US
Telephone Number : 928-764-2385
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : JOSEPH PRAVOOT GIRA
Credential : MD
Telephone Number : 314-909-0633
Provider Enumeration Date : 04/22/2016
Last Update Date : 12/16/2022

Similar Medicare Providers

1164449377 — WALMART INC.
Practice Location Address:
5695 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 928-453-8515
Practice Fax:
1508275561 — ELIZABETH NOVELEN
Practice Location Address:
5695 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 928-764-3737
Practice Fax: 928-764-3740
1619356680 — DR. TIMOTHY A YOUSO PHARM D
Practice Location Address:
5695 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 928-764-3737
Practice Fax:
1740913938 — DR. ALI NOORI DAHAM DDS
Practice Location Address:
5665 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 323-980-6661
Practice Fax:
1366135238 — JULIANA POSSO LDO
Practice Location Address:
5695 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 928-764-3755
Practice Fax:
1487336251 — LETICIA GARCIA PHARMD
Practice Location Address:
5695 HIGHWAY 95 N
LAKE HAVASU CITY, AZ
86404-9646
Practice Phone: 928-764-3737
Practice Fax: 928-764-3740

Directions to “NATIONWIDE VISION CENTER, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.