| Jack L Hostetler, OD | |
|
2680 S Val Vista Dr, #111, Gilbert, AZ 85295-2152 | |
| (480) 807-0288 | |
| (480) 299-7199 |
| Full Name | Jack L Hostetler |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 45 Years |
| Location | 2680 S Val Vista Dr, Gilbert, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760486500 | NPI | - | NPPES |
| 860439395 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 349 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Tan Eyecare Plc | 1456420140 | 3 |
| Provider Name | San Tan Eyecare Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114101136 PECOS PAC ID: 1456420140 Enrollment ID: O20080521000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack L Hostetler, OD 2680 S Val Vista Dr, #111, Gilbert, AZ 85295-2152 Ph: (480) 807-0288 | Jack L Hostetler, OD 2680 S Val Vista Dr, #111, Gilbert, AZ 85295-2152 Ph: (480) 807-0288 |
Marci Pieper, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3921 E. Baseline Rd., Suite 8, Gilbert, AZ 85234 Phone: 480-892-6560 | |
Dr. John Andrew Riley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3931 S Gilbert Rd, Gilbert, AZ 85297 Phone: 480-281-0204 Fax: 480-281-0206 | |
Dr. Karen Stonebraker Simon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 690 E Warner Rd, Suite 128, Gilbert, AZ 85296 Phone: 480-248-6173 Fax: 480-240-5972 | |
Dr. Jonathan Egan Wold, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2680 S Val Vista Dr, #111, Gilbert, AZ 85295 Phone: 480-807-0288 Fax: 480-290-7199 | |
Steven L. Labroff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2174 E Williams Field Rd, Ste 124, Gilbert, AZ 85295 Phone: 480-786-9845 | |
Nationwide Optometry P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1495 N Higley Rd Ste 106, Gilbert, AZ 85234 Phone: 623-289-8962 Fax: 623-289-8963 | |
Irina Andrushenko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2450 E Guadalupe Rd Ste 107, Gilbert, AZ 85234 Phone: 480-558-0600 |