Healthcare Provider Details

I. General information

NPI: 1568509438
Provider Name (Legal Business Name): THOMAS MARK FAUSSET OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2034 CLIFF DR
SANTA BARBARA CA
93109-1506
US

IV. Provider business mailing address

2034 CLIFF DR
SANTA BARBARA CA
93109-1506
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-5223
  • Fax:
Mailing address:
  • Phone: 805-965-5223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8223T
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number8223T
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number8223T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: