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Mark A Jury, Od A 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

1376627000

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Registry record

Entity type Organization (Type 2)
Legal business name Mark A Jury, Od A Optometric Professional Corporation
Practice address 23905 Clinton Keith Rd, Ste #115, Wildomar, CA, 92595
Phone (951) 304-9733
Fax (866) 741-5945
Enumeration date Oct 25, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License OPT9583 (CA) Primary

Authorized official

Name Mark Jury
Title Optometrist
Phone (951) 304-9733

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.

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Frequently asked questions

What is the NPI number for Mark A Jury, Od A Optometric Professional Corporation?
The NPI for Mark A Jury, Od A Optometric Professional Corporation is 1376627000, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mark A Jury, Od A Optometric Professional Corporation?
NPPES lists Mark Jury (Optometrist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.