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Mark A. Jury Optometric Professional Corporation

Optometrist in Wildomar, CA · enumerated 2006 · authorized official Mark Jury, Optometrist.

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

National Provider Identifier

1033293592

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Registry record

Entity type Organization (Type 2)
Legal business name Mark A. Jury Optometric Professional Corporation
Practice address 23905 Clinton Keith Road, Suite 115, Wildomar, CA, 92595
Fax (951) 304-9734
Enumeration date Oct 24, 2006
Last updated in NPPES Sep 19, 2011

Taxonomy & classification

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

Authorized official

Name Mark Jury
Title Optometrist

Other identifiers

Identifier Type State Issuer
SD0095830 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 is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mark A. Jury Optometric Professional Corporation?
Mark A. Jury Optometric Professional Corporation is registered in NPPES as a Optometrist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-19.