Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark a Jury, OD a Optometric Professional Corporation

Organization Optometrist · NPI 1376627000

Mark a Jury, OD a Optometric Professional Corporation is an Optometrist in Wildomar, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

23905 Clinton Keith Rd Ste #115
Wildomar, CA 92595-7897
Phone: (951) 304-9733
Fax: (866) 741-5945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT9583 (CA)

Record details

NPI number1376627000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jury — Optometrist · (951) 304-9733
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address23905 Clinton Keith Rd, Ste #115, Wildomar, CA 92595-7897

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