IndividualActive
Jack Sipperley, MD
NPI 1235130402 · Retina Specialist (Ophthalmology) Physician · Phoenix, AZ
Provider details
- NPI number
- 1235130402
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16167 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4800 N 22nd St
Phoenix, AZ 85016-4701
Phone: (602) 955-1000
Fax: (602) 508-4830
Approximate (ZIP-level) locationGet directions
Mailing address
4800 N 22nd St
Phoenix, AZ 85016-4701
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2019-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.