San Tan Eyecare PLC
NPI 1114101136ActiveOrganization· Optometrist· Gilbert, AZ
Optometrist in Gilbert, Arizona, registered in NPPES in December 2007. The authorized official on file is Jack L. Hostetler, OD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114101136 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2007 |
| Last updated in NPPES | Mar 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1307 | AZ |
| Optometrist | 152W00000X | 349 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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