Shepard Eye Center

LBN: Elite Eyecare Medical Group A Medical Corporation
Shepard Eye Center is an health care organization with primary practice located at 1429 S Broadway , Santa Maria CA 93454. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Elite Eyecare Medical Group A Medical Corporation can be contacted via phone (805) 925-9575, or through Kendall, Kenneth R via phone (805) 922-2637.

Contact Information

Primary practice address
1429 S Broadway Santa Maria CA 93454
Phone: (805) 925-9575
Fax: (805) 347-0033
Website:
Map and Directions
Authorized official contact:
Name: Kendall, Kenneth R Doctor of Optometry (OD)
Phone: (805) 922-2637

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1245548023
LBN Legal business name Elite Eyecare Medical Group A Medical Corporation
DBA Doing business as Shepard Eye Center
Authorized official Kendall, Kenneth R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2010
Last updated Oct 1st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245548023 NPPES
California MEDICAID GR0086921

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