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

Dr. Jeffrey David Wine, OD

Individual provider Optometrist · NPI 1609962323

Dr. Jeffrey David Wine, OD is an Optometry in Mesa, Arizona. Graduated from Ohio State University - College of Optometry in 2006, 20 years ago. Practices with Eyes on Site PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
Ohio State University - College of Optometry
Licensed in
AZ
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2826 E Baseline Rd Ste 101
Mesa, AZ 85204-7282
Phone: (480) 626-8925
Fax: (480) 704-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1544 (AZ)

Record details

NPI number1609962323
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Eyes On Site Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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