MEDICARE: SANTA YNEZ VALLEY VISION SOURCE INC

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
1	152W00000X	Optometrist	5812T	CA

General Provider Information

NPI Number	:	1124167903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA YNEZ VALLEY VISION SOURCE INC

Provider Business Mailing Address
First Line	:	2040 VIBORG RD
Second Line	:	SUITE 240
City	:	SOLVANG
State	:	CA
Zip	:	93463-2272
Country	:	US
Telephone Number	:	805-688-0707
Fax Number	:	805-693-9839

Provider Business Practice Location Address
First Line	:	2040 VIBORG RD
Second Line	:	SUITE 240
City	:	SOLVANG
State	:	CA
Zip	:	93463-2272
Country	:	US
Telephone Number	:	805-688-0707
Fax Number	:	805-693-9839

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DENNIS R. BALES
Credential	:	O.D.
Telephone Number	:	805-688-0707

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/02/2012

Similar Medicare Providers

1093711806 — MR. MICHAEL P FANGMAN M.D.
Practice Location Address:

2040 VIBORG RD , SUITE 140
SOLVANG, CA
93463-2272

Practice Phone: 805-681-1761
Practice Fax: 805-681-1768

1477528099 — DR. DENNIS R BALES O.D.
Practice Location Address:

2040 VIBORG RD , SUITE 240
SOLVANG, CA
93463-2272

Practice Phone: 805-688-0707
Practice Fax: 805-693-9839

1346383973 — DR. KRISTEN RAGNER WILLIAMS M.D.
Practice Location Address:

2040 VIBORG RD , 110
SOLVANG, CA
93463-2272

Practice Phone: 805-693-1938
Practice Fax: 805-693-1948

1629369442 — DR. RICHARD HUYNH M.D.
Practice Location Address:

2040 VIBORG RD STE 140
SOLVANG, CA
93463-2272

Practice Phone: 805-686-5370
Practice Fax:

1881179521 — SANTA YNEZ VALLEY COTTAGE HOSPITAL, INC.
Practice Location Address:

2040 VIBORG RD STE 110
SOLVANG, CA
93463-2272

Practice Phone: 805-686-3971
Practice Fax:

1487588158 — LINDSAY MARIN FOX
Practice Location Address:

589 PINE ST
SOLVANG, CA
93463-2626

Practice Phone: 803-431-0114
Practice Fax:

Directions to “SANTA YNEZ VALLEY VISION SOURCE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.