Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mark Alan Jury, OD

Optometrist in Wildomar, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477578458

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Registry record

Entity type Individual (Type 1)

Name Mark Alan Jury

Credential OD

Sex Male

Practice address 23905 Clinton Keith Rd, Suite115, Wildomar, CA, 92595

Phone (951) 304-9733

Enumeration date Jul 12, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 9583T (CA) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
SD0095831	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Mark Jury?

Mark Jury is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.