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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
Santa Ynez Valley Optical | Doing Business As Name - Organization |
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 |
Street Address |
2040 VIBORG RD STE 240 |
City | SOLVANG |
State | CA |
Zip Code | 93463 |
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 |
Find all providers in zip 93463 |
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 |
---|---|---|---|---|
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 |
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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.