DR. AMANDA BEAUDRY (NPI# 1477903516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477903516 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BEAUDRY |
| Credential | O.D., M.S. |
| Practice Address |
317 W Pueblo St Santa Barbara CA 93105 |
| Mailing Address |
Po Box 62106 Santa Barbara CA 93160-2106 |
| Practice Telephone | 8056818982 |
| Mailing Telephone | 8056818980 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT33385 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | OPT33385 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 Coast Village Rd, Santa Barbara, CA 931082716 | 8059692020 | |
| 5122 Hollister Ave, Santa Barbara, CA 931112526 | 8054518180 | |
| 7095 Market Place Dr, Goleta, CA 931175905 | 8055621300 |
| Street Address |
317 W PUEBLO ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823418 | Sandra L. Kramer | Internal Medicine | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2005-06-30 |
| 1568936524 | Kathy Dang Tran | Pharmacist | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2019-01-13 |
| 1174090161 | Anne C Mcmullen | Registered Nurse | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2018-10-27 |
| 1568953578 | Mia Nadine Benton | Physician Assistant | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2018-05-24 |
| 1043719495 | Jenna Ann Barreto | Physician Assistant | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2018-02-12 |
| 1487178380 | Christina Archer | Dietitian, Registered | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2017-08-01 |
| 1063935591 | Brian Edward Ng | Optometrist | 317 W Pueblo St, Santa Barbara, CA 93105 | 2017-07-17 |
| 1952752263 | Lindsay Katona | Hospitalist | 317 W Pueblo St, Santa Barbara, CA 93105 | 2016-06-28 |
| 1306229646 | Jason Solway | Dermatology | 317 W Pueblo St, Santa Barbara, CA 93105 | 2015-07-06 |
| 1922427327 | Hiwot Hagos Araya | Hospitalist | 317 W Pueblo St, Santa Barbara, CA 93105 | 2014-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017642 | Goleta Valley Optometry Inc | Optometrist | 5122 Hollister Ave, Santa Barbara, CA 93111-2526 | 2017-04-17 |
| 1528290822 | Vicki Ann Lyons-wait | Optometrist | 309 West Quinto Street, Santa Barbara, CA 93105 | 2009-08-20 |
| 1396996203 | Barry Craig Mast | Optometrist | 1 S Milpas St, A, Santa Barbara, CA 93103-3305 | 2008-10-09 |
| 1720251846 | Sharon Samski | Optometrist | 1433 State St, Suite B, Santa Barbara, CA 93101-2511 | 2008-04-09 |
| 1720110372 | Gregory James Novak | Optometrist | 3845 State St, Santa Barbara, CA 93105-3111 | 2007-03-09 |
| 1902949118 | Larry Bickford | Optometrist | 3324 State St Ste J, Santa Barbara, CA 93105-2667 | 2007-02-15 |
| 1568509438 | Thomas Mark Fausset | Optometrist | 2034 Cliff Dr, Santa Barbara, CA 93109-1506 | 2007-01-31 |
| 1619023942 | Larry E. Nordgaarden | Optometrist | 25 E Canon Perdido St, Santa Barbara, CA 93101-2213 | 2007-01-27 |
| 1104999523 | Wendy Santizo | Optometrist | 1629 State St, Suite 1, Santa Barbara, CA 93101-2548 | 2006-11-15 |
| 1265404180 | Teresa A Mayhew-sutherland | Optometrist | 127 Santo Tomas Ln, Santa Barbara, CA 93108-2516 | 2006-02-03 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.