Corby, Tiffany
Corby, Tiffany is an individual health care provider with primary practice located at 5300 Hollister Ave , Santa Barbara CA 93111-2306. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Corby, Tiffany can be contacted via phone (805) 692-6977.Contact Information
Primary practice address
5300 Hollister Ave
Santa Barbara CA 93111-2306
Phone: (805) 692-6977
Fax: (805) 692-6987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 11870T | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 11870T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 11870T | California |
Profile Details
| NPI number | 1164455812 |
|---|---|
| LBN Legal business name | Corby, Tiffany |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164455812 | NPPES |
| Other | 77-0049461 | OLD TAX ID# | |
| Other | 59-3792228 | OLD TAX ID# | |
| Other | 11870T | OLD TAX ID# |
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