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EYES ON SITE PLLC
NPI 1013163005
Optometrist in Mesa, AZ

Active since August 11, 2008CLIA 03D2103982 · Waiver
2826 E BASELINE RD STE 101, MESA, AZ 85204(480) 626-8925(480) 704-4036 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eyes On Site Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYES ON SITE PLLC (NPI 1013163005) is a healthcare organization registered as an optometrist in Mesa, Arizona and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Jeffrey David Wine, Owner, as its authorized official.

NPPES Registry Identity

NPI1013163005
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYES ON SITE PLLC
Location Address2826 E BASELINE RD STE 101Mesa, AZ 85204-7282
Mailing Address2826 E Baseline Rd Ste 101Mesa, AZ 85204-7282 · (480) 626-8925 · Fax (480) 704-4036
Phone(480) 626-8925
Fax(480) 704-4036
Organization SubpartNo
Authorized OfficialJeffrey David WineOwner · (480) 626-8925
Enumeration DateAugust 11, 2008
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1013163005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 1544
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2826 E BASELINE RD STE 101, Mesa, AZ 85204
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2103982

Eyes On Site · Mesa, AZ
Active · expires Oct 25, 2027
CLIA Number03D2103982
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorJeffrey D. Wine
Laboratory Phone(480) 626-8925
Laboratory LocationEyes On Site2826 E Baseline Rd, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY DAVID WINE OD
Optometrist
2826 E BASELINE RD STE 101
MESA, AZ 85204
Maricopa County (480) 626-8925
DR. ARDALAN RASHIDI OD
Optometrist
2826 E BASELINE RD STE 101
MESA, AZ 85204
Maricopa County (480) 626-8925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyes On Site PLLC's NPI number?

The NPI number for Eyes On Site PLLC is 1013163005. It was assigned to this organization in the NPPES registry on August 11, 2008.

Where is Eyes On Site PLLC located?

Eyes On Site PLLC is located at 2826 E Baseline Rd Ste 101, Mesa, AZ 85204. The listed phone number is (480) 626-8925.

What is Eyes On Site PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Eyes On Site PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2103982) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eyes On Site PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Eyes On Site PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eyes On Site PLLC was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.