ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION (NPI# 1578618252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578618252 |
| Entity Type | Organization |
| Organization Name | ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION |
| Other Organization Name | OPTICAL TRENDS |
| Practice Address |
910 E Stowell Rd Santa Maria CA 93454 |
| Mailing Address |
910 E Stowell Rd Santa Maria CA 93454-7001 |
| Practice Telephone | 8059228812 |
| Practice Fax Number | 8059226165 |
| Mailing Telephone | 8059228812 |
| Mailing Fax Number | 8059226165 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | DR. STEPHEN BYLSMA (PRESIDENT) |
| Authorized Official Telephone | 8059252637 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Optical Trends | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857928 | Elite Eyecare Medical Group A Medical Corporation | Eyewear Supplier (Equipment, not the service) | 2040 Viborg Rd Ste 240, Solvang, CA 93463 | 2018-07-19 |
| 1760982300 | Elite Eyecare Medical Group A Medical Corporation | Ophthalmology | 437 Marsh St, San Luis Obispo, CA 93401 | 2018-02-20 |
| 1356763759 | Elite Eyecare Medical Group A Medical Corporation | Ophthalmology | 2040 Viborg Rd, #240, Solvang, CA 93463 | 2014-01-20 |
| 1245548023 | Elite Eyecare Medical Group A Medical Corporation | Ophthalmology | 1429 S Broadway, Santa Maria, CA 93454 | 2010-09-15 |
| 1710216957 | Elite Eyecare Medical Group A Medical Corporation | Ophthalmology | 1245 Broad St, San Luis Obispo, CA 93401 | 2009-12-17 |
| 1952456824 | Elite Eyecare Medical Group A Medical Corporation | Eyewear Supplier (Equipment, not the service) | 425 W Central Ave Ste 102, Lompoc, CA 93436 | 2007-01-23 |
| 1437117231 | Elite Eyecare Medical Group A Medical Corporation | Ophthalmology | 425 W Central Ave Ste 102, Lompoc, CA 93436 | 2006-05-02 |
| Street Address |
910 E STOWELL RD |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334256 | James T. Franta | Optometrist | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2005-05-23 |
| 1497876254 | Candy Kaihing Chan | Ophthalmology | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2007-04-02 |
| 1518994235 | Timothy D Nelson | Optometrist | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2006-06-27 |
| 1578521472 | Elite Eyecare Medical Group A Medical Corportation | Optometrist | 910 E Stowell Rd, Santa Maria, CA 93454 | 2006-05-02 |
| 1891788436 | Randall Goodman | Ophthalmology | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2005-08-30 |
| 1790788008 | Shahriar Rami Zarnegar | Ophthalmology | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2005-05-31 |
| 1003819863 | Daniel P. Shepard | Specialist | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2005-05-24 |
| 1265435325 | Stephen S. Bylsma | Ophthalmology | 910 E Stowell Rd, Santa Maria, CA 93454-7001 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245385665 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 363 Town Ctr E Ste G73, Santa Maria, CA 93454 | 2007-01-24 |
| 1447307970 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 200 Town Ctr E, Santa Maria, CA 93454-5131 | 2007-01-05 |
| 1801841275 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2220 S Bradley Rd, Santa Maria, CA 93455-1348 | 2006-05-24 |
| 1639568579 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1700 S Bradley Rd, Santa Maria, CA 93454 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION.
| 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.