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Eyes on Site PLLC

NPI 1053043331ActiveOrganization· Optometrist· Mesa, AZ

Optometrist in Mesa, Arizona, registered in NPPES in June 2022. The authorized official on file is Jeffrey David Wine, OD, Owner.

Overview

NPI1053043331
StatusActive
Entity typeOrganization
NPI issuedJun 27, 2022
Last updated in NPPESJun 27, 2022
Certified by providerJun 17, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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