Healthcare Provider Details
I. General information
NPI: 1740192079
Provider Name (Legal Business Name): NATALIA SANTIZO AIMONETTI, A PROFESSIONAL OPTOMETRY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1629 STATE ST STE 1
SANTA BARBARA CA
93101-2548
US
IV. Provider business mailing address
1629 STATE ST STE 1
SANTA BARBARA CA
93101-2548
US
V. Phone/Fax
- Phone: 805-569-2318
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATALIA
SANTIZO
AIMONETTI
Title or Position: OWNER/ PRESIDENT
Credential: OD
Phone: 805-569-2318