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

Dr. Kevin Pugh, OD

Individual provider Optometrist · NPI 1568845097

Dr. Kevin Pugh, OD is an Optometry in Mesa, Arizona. Qualified in 2015, 11 years ago. Practices with Southwestern Eye Center Ltd, a 117-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
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

1055 S Stapley Dr
Mesa, AZ 85204
Phone: (480) 833-9100
Fax: (480) 833-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 S Stapley Dr, Mesa, AZ 85204-5098 — (480) 833-9100

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2054 (AZ)

Record details

NPI number1568845097
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESFebruary 23, 2024
Certification dateMay 17, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southwestern Eye Center Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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