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

Jack L Hostetler, OD

Individual provider Optometrist · NPI 1760486500

Jack L Hostetler, OD is an Optometry in Gilbert, Arizona. Graduated from Southern College of Optometry in 1980, 46 years ago. Practices with San Tan Eyecare PLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
46
Trained at
Southern College of Optometry
Licensed in
AZ
In the registry since
2005
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

2680 S Val Vista Dr #111
Gilbert, AZ 85295-2152
Phone: (480) 807-0288
Fax: (480) 299-7199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 349 (AZ)

Record details

NPI number1760486500
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESJune 25, 2008
Mailing address2680 S Val Vista Dr, 111, Gilbert, AZ 85295-2152

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1980 (46 years in practice)
Group practice San Tan Eyecare Plc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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