Organization
NATIONWIDE OPTOMETRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PELLER OD (PRESIDENT)
(480) 961-1865
Entity
Organization
Contact information
Practice address
2446 E CAMELBACK RD, PHOENIX, AZ 85016-4202
(602) 870-9135
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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