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NPI Code Detail

MEDICARE: EYE AND VISION CARE OPTOMETRIC GROUP

MEDICARE: EYE AND VISION CARE OPTOMETRIC GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist11977TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA 6765OTHERCAEYEMED TAKA NOMURA
2OP 1977TOTHERCAOD LISC # LUKE WERKHOVEN
3OP 7390TOTHERCAOD LISC# DAWN WOODS
46608OTHERMEDICAL EYE SERVICES
5OP 006765OTHERCAOPTOMETRY LISC TAKA NOMUR
6OP 11870TOTHERCAOD LISC # TIFFANY CORBY
7SD 0067650OTHERCABLUE SHEILD TAKA NOMURA
840937OTHERDAVIS VISION TAKA NOMURA
96607OTHERMEDICAL EYE SERVICES

General Provider Information

NPI Number : 1073658795
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE AND VISION CARE OPTOMETRIC GROUP
Provider Business Mailing Address
First Line : 5300 HOLLISTER AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-2306
Country : US
Telephone Number : 805-692-6977
Fax Number : 805-692-6987
Provider Business Practice Location Address
First Line : 5300 HOLLISTER AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-2306
Country : US
Telephone Number : 805-692-6977
Fax Number : 805-692-6987
Authorized Official
Title or Position : PARTNER
Name : DR. LUKE WERKHOVEN
Credential : O.D.
Telephone Number : 805-692-6977
Provider Enumeration Date : 02/20/2007
Last Update Date : 03/07/2023

Similar Medicare Providers

1861425662 — DR. LUKE WERKHOVEN O.D.
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax:
1164455812 — DR. TIFFANY CORBY O.D.
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax: 805-692-6987
1821021502 — DR. CHIYOTAKA NOMURA O.D.
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax: 805-692-6987
1376568618 — DR. DAWN WOODS O.D.
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax: 805-692-6987
1609315647 — ROBIN CHANG
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax:
1902789738 — THU HOANG ANH LE
Practice Location Address:
5300 HOLLISTER AVE
SANTA BARBARA, CA
93111-2306
Practice Phone: 805-692-6977
Practice Fax:

Directions to “EYE AND VISION CARE OPTOMETRIC GROUP ” Practice Location

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