Provider Demographics
NPI:1912628900
Name:EXPERTS ON SIGHT - MESA LLC
Entity Type:Organization
Organization Name:EXPERTS ON SIGHT - MESA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-292-9835
Mailing Address - Street 1:3303 S LINDSAY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1504
Mailing Address - Country:US
Mailing Address - Phone:480-292-9835
Mailing Address - Fax:480-292-9836
Practice Address - Street 1:1919 E MCKELLIPS RD STE 103
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-2855
Practice Address - Country:US
Practice Address - Phone:480-844-2286
Practice Address - Fax:480-610-6641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty