Jack L Hostetler is a Gilbert, Arizona based male Optometrist with 44 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jack L Hostetler is 349 for Optometry in Arizona. Jack L Hostetler examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jack L Hostetler speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
44+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2680 S Val Vista Dr, #111, Gilbert, Arizona, 85295-2152
Phone:
480-807-0288
Fax:
480-299-7199
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6204856529
Enrollment ID:
I20051201000649
NPI Number:
1760486500
NPI Enumeration Date:
09 Jun, 2005
NPI Last Update On:
25 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack L Hostetler are as mentioned below.
License Number
Specialization
State
Status
349
Optometry
Arizona
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jack L Hostetler has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
San Tan Eyecare Plc (1456420140)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack L Hostetler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
860439395
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2680 S Val Vista Dr, #111 Gilbert, Arizona
Zip:
85295-2152
Phone Number:
480-807-0288
Fax Number:
480-299-7199
Patients can reach Jack L Hostetler at 2680 S Val Vista Dr, #111, Gilbert, Arizona or can call to book an appointment on 480-807-0288. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.