NPI 1023092228

Jonathan Egan Wold, OD

Practitioner Optometrist Gilbert, AZ

Practice location

Address: 2680 S Val Vista Dr #111, Gilbert, AZ 85295-2152
Phone: (480) 807-0288
Fax: (480) 290-7199

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1307 (AZ)

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Registry record

NPI: 1023092228
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2005
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.