MEDICARE: MR. JAMES ANTHONY GENA OPTICIAN

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
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1770601924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES ANTHONY GENA OPTICIAN

Provider Business Mailing Address
First Line	:	3939 E PARK CT
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-4442
Country	:	US
Telephone Number	:	480-507-9512
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 W CHANDLER BLVD STE 13
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6175
Country	:	US
Telephone Number	:	480-726-9800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	12/14/2025

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