MEDICARE: GOLETA VISION AND OPTOMETRY

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

General Provider Information

NPI Number	:	1316717663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLETA VISION AND OPTOMETRY

Provider Business Mailing Address
First Line	:	7127 HOLLISTER AVE STE 23
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-2857
Country	:	US
Telephone Number	:	805-968-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	7127 HOLLISTER AVE STE 23
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-2857
Country	:	US
Telephone Number	:	805-968-3937
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	JAMES YOO
Credential	:	OD
Telephone Number	:	805-968-3937

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	03/17/2026

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Directions to “GOLETA VISION AND OPTOMETRY ” Practice Location

Language	Start Address	Practice Location

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