Provider Demographics
NPI:1417798349
Name:K&J VISION CARE PLLC
Entity type:Organization
Organization Name:K&J VISION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARISHMA
Authorized Official - Middle Name:JAYESH
Authorized Official - Last Name:MISTRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:831-578-5926
Mailing Address - Street 1:1053 W GLENMERE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-7580
Mailing Address - Country:US
Mailing Address - Phone:831-578-5926
Mailing Address - Fax:
Practice Address - Street 1:857 N DOBSON RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7585
Practice Address - Country:US
Practice Address - Phone:831-578-5926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty