Organization
EYES ON SITE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID WINE OD (OWNER)
(480) 626-8925
Entity
Organization
Contact information
Practice address
2826 E BASELINE RD STE 101, MESA, AZ 85204-7282
(480) 626-8925
(480) 704-4036
Mailing address
2826 E BASELINE RD STE 101, MESA, AZ 85204-7282
(480) 626-8925
(480) 704-4036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1544
AZ
Other
Enumeration date
08/11/2008
Last updated
06/20/2022
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