Healthcare Provider Details

I. General information

NPI: 1598693764
Provider Name (Legal Business Name): SEASIDE OPTOMETRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W CENTRAL AVE
LOMPOC CA
93436-2829
US

IV. Provider business mailing address

965 SAVANNAH DR
GROVER BEACH CA
93433-3838
US

V. Phone/Fax

Practice location:
  • Phone: 530-515-7290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY HAMAR
Title or Position: CEO,CFO
Credential: OD
Phone: 530-515-7290