ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION


Address: 2040 Viborg Rd Ste 240, Solvang, CA 93463
Phone: 8056880707

ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION (NPI# 1659857928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659857928
Entity Type Organization
Organization Name ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Other Organization Name SANTA YNEZ VALLEY OPTICAL
Practice Address 2040 Viborg Rd Ste 240
Solvang
CA 93463
Mailing Address 910 E Stowell Rd
Santa Maria
CA 93454-7001
Practice Telephone 8056880707
Practice Fax Number 8056939839
Mailing Telephone 8059252637
Mailing Fax Number 8056147718
Enumeration Date 2018-07-19
Last Update Date 2018-10-01
Authorized Official Name KENNEHT KENDALL (CEO)
Authorized Official Telephone 8059252637
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Santa Ynez Valley Optical Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1578618252 Elite Eyecare Medical Group A Medical Corporation Eyewear Supplier (Equipment, not the service) 910 E Stowell Rd, Santa Maria, CA 93454 2007-01-24
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

Office Location

Street Address 2040 VIBORG RD STE 240
City SOLVANG
State CA
Zip Code 93463

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811470560 Beverly Raff Marriage & Family Therapist 2927 Deertrail Place, Solvang, CA 93463 2018-09-10
1801301932 Terrell Jensen White Psychologist 2511 School St, Ballard, CA 93463 2017-12-12
1578928297 Nikki Thibault Counselor 1693 Mission Dr # 204, Solvang, CA 93463 2015-12-22
1720423882 Eric Michael Bank Internal Medicine 2040 Viborg Rd Ste 140, Solvang, CA 93463 2013-05-02
1295002434 Santa Ynez Band of Mission Indians Community/Behavioral Health 680 Alamo Pintado Ste 202, Solvang, CA 93463 2011-11-16
1427363027 John H Adams Hearing Instrument Specialist 2027 Village Ln. #204, Solvang, CA 93463 2010-08-09
1548442890 Steven Wayne Lutzker Dermatology 2027 Village Lane, Suite 101, Solvang, CA 93463 2007-11-28
1548463938 Jean Lorraine Seamount Dentist 511 Fifth St, Solvang, CA 93463 2007-06-06
1518179472 Santa Ynez Valley People Helping People Community/Behavioral Health 545 N Alisal Road, Solvang, CA 93463 2007-05-04
1063638393 Jerry D. Merrell Dentist 2028 Village Lane, #101, Solvang, CA 93463 2007-04-17
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and state

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
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Competitor

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City SOLVANG
Zip Code 93463

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Dataset Information

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.

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