SAN TAN EYECARE PLC
NPI 1114101136
Optometrist in Gilbert, AZ

Q: What is San Tan Eyecare Plc's NPI number?

The NPI number for San Tan Eyecare Plc is 1114101136. It was assigned to this organization in the NPPES registry on December 27, 2007.

Q: What is San Tan Eyecare Plc's specialty?

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

Active since December 27, 2007

2680 S VAL VISTA DR, SUITE 111, GILBERT, AZ 85295(480) 807-0288(480) 290-7199 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About San Tan Eyecare Plc NPPES

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

SAN TAN EYECARE PLC (NPI 1114101136) is a healthcare organization registered as an optometrist in Gilbert, Arizona and active in the NPI registry since December 2007. The organization lists Jack L Hostetler, Member, as its authorized official.

NPPES Registry Identity

NPI1114101136

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSAN TAN EYECARE PLC

Location Address2680 S VAL VISTA DR, SUITE 111Gilbert, AZ 85295-1606

Mailing Address2680 S Val Vista Dr, Suite 111Gilbert, AZ 85295-1606 · (480) 807-0288 · Fax (480) 290-7199

Phone(480) 807-0288

Fax(480) 290-7199

Organization SubpartNo

Authorized OfficialJack L HostetlerMember · (480) 807-0288

Enumeration DateDecember 27, 2007

Last NPPES UpdateMarch 7, 2012

✔ NPI 1114101136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in AZ · 1307✔ Licensed in AZ · 349

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.

2680 S VAL VISTA DR, Gilbert, AZ 85295

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Other Identifiers 4

Medicare PINZ122221AZ

Medicare NSC6038880001AZ

Other0917440001AZ · Dmerc

Medicare UPINU96783AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Tan Eyecare Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to San Tan Eyecare Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jack Hostetler, O.D.

Optometry

NPI 1760486500

2680 S VAL VISTA DR #111
Gilbert, AZ 85295

(480) 807-0288

✔ PECOSSame address

Jonathan Wold, OD

Optometry

NPI 1023092228

2680 S VAL VISTA DR #111
Gilbert, AZ 85295

(480) 807-0288

✔ PECOS✔ Accepts MedicareSame address

Blaine Watkins, O.D.

Optometry

NPI 1962784975

1155 S POWER RD SUITE 102
Mesa, AZ 85206

(210) 319-8099

✔ PECOS✔ Accepts Medicare7.6 mi

Christine Fahmy, OD

Optometry

NPI 1376315077

21321 E OCOTILLO RD STE 105
Queen Creek, AZ 85142

(480) 656-7739

✔ PECOS✔ Accepts Medicare8.6 mi

George Paul, O.D.

Optometry

NPI 1205205457

7511 S MCCLINTOCK DR STE 101
Tempe, AZ 85283

(480) 967-4910

✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Tan Eyecare Plc's NPI number?

The NPI number for San Tan Eyecare Plc is 1114101136. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is San Tan Eyecare Plc located?

San Tan Eyecare Plc is located at 2680 S Val Vista Dr Suite 111, Gilbert, AZ 85295. The listed phone number is (480) 807-0288.

What is San Tan Eyecare Plc's specialty?

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

Is San Tan Eyecare Plc enrolled in Medicare?

Yes. San Tan Eyecare Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Tan Eyecare Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to San Tan Eyecare Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does San Tan Eyecare Plc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list San Tan Eyecare Plc 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 San Tan Eyecare Plc was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.