Healthcare Provider Details

I. General information

NPI: 1255819934
Provider Name (Legal Business Name): STRICKLAND OPTOMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 COAST VILLAGE RD STE L
MONTECITO CA
93108-0748
US

IV. Provider business mailing address

1165 COAST VILLAGE RD STE L
MONTECITO CA
93108-0748
US

V. Phone/Fax

Practice location:
  • Phone: 805-565-5073
  • Fax: 805-565-5075
Mailing address:
  • Phone: 805-565-5073
  • Fax: 805-565-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14606
License Number StateCA

VIII. Authorized Official

Name: DR. GARY STRICKLAND
Title or Position: PRESIDENT
Credential: OD
Phone: 805-565-5073