Dr Jeffrey David Wine, OD | |
2826 E Baseline Rd Ste 101, Mesa, AZ 85204-7282 | |
(480) 626-8925 | |
(480) 704-4036 |
Full Name | Dr Jeffrey David Wine |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 18 Years |
Location | 2826 E Baseline Rd Ste 101, Mesa, 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 |
---|---|---|---|
1609962323 | NPI | - | NPPES |
145725 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1544 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eyes On Site Pllc | 3779659263 | 2 |
Provider Name | Eyes On Site Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013163005 PECOS PAC ID: 3779659263 Enrollment ID: O20080908000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey David Wine, OD 2826 E Baseline Rd Ste 101, Mesa, AZ 85204-7282 Ph: (480) 626-8925 | Dr Jeffrey David Wine, OD 2826 E Baseline Rd Ste 101, Mesa, AZ 85204-7282 Ph: (480) 626-8925 |
Dr. Fred Nmn Fisch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-834-6367 | |
Alicia S Mccallen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1444 S Sossaman Rd, Mesa, AZ 85209 Phone: 480-333-6563 Fax: 480-333-6564 | |
Eyes On Site Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2826 E Baseline Rd Ste 101, Mesa, AZ 85204 Phone: 480-626-8925 Fax: 480-704-4036 | |
Dr. Mark Peller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1025 S Power Rd, Mesa, AZ 85206 Phone: 480-325-6277 Fax: 480-325-6278 | |
Dr. Dawn Michelle Martin, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3940 E University Dr, Ste 5, Mesa, AZ 85205 Phone: 480-832-0030 Fax: 480-924-7268 | |
Pearson Eyecare Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6555 E Southern Ave, #1508, Mesa, AZ 85206 Phone: 480-345-7520 | |
Jordan Bluth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 S Stapley Dr, Mesa, AZ 85204 Phone: 480-833-9100 |