Organization
NATIONWIDE VISION CENTER, LLC
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
2679 GULF TO BAY BLVD STE 560&570, CLEARWATER, FL 33759-4947
(727) 669-2831
(727) 669-3226
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
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
12/21/2022
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