Organization
NATIONWIDE OPTOMETRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA MD (CHIEF MEDICAL OFFICER)
(314) 909-0633
Entity
Organization
Contact information
Practice address
5405 E GRANITE ST, BLDG. 2527, DAVIS MONTHAN AFB, AZ 85707-3004
(520) 745-5669
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
12/15/2022
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