NPI 1043710759

Jordan Bluth, OD

Practitioner Optometrist Mesa, AZ

Practice location

Address: 1055 S Stapley Dr, Mesa, AZ 85204-5013
Phone: (480) 833-9100
Mailing address: 309 E Ingram St, Mesa, AZ 85201-2355

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2233 (AZ)

Other Optometrist providers in Arizona →

Registry record

NPI: 1043710759
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2018
Record last updated: 19 Feb 2018

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.