Organization Active NPI

Teresa a Mayhew-Sutherland

Doing business as Teresa A Mayhew, O.D.

  • Optometrist
  • Carpinteria, CA
National Provider Identifier
1063739548
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8802T Issued in CA
Legal business name
TERESA A MAYHEW-SUTHERLAND
Doing business as
Teresa A Mayhew, O.D.
Practice address
5434 Carpinteria Ave
Carpinteria, CA 93013-1423
Phone
(805) 684-5476
Fax
(805) 684-5477
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Teresa A Mayhew, O.D.
Title
Optometrist
Phone
(805) 684-5476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8802T CA Primary

Addresses

Primary practice location

5434 Carpinteria Ave
Carpinteria, CA 93013-1423

Mailing address

5434 Carpinteria Ave
Carpinteria, CA 93013-1423
Phone (805) 684-5476

Other identifiers 2

IdentifierTypeStateIssuer
1265404180OtherCAPERSONAL NPI
SD0088020MedicaidCA

Other names 1

  • Teresa A Mayhew, O.D. Doing business as

National Provider Directory

National Provider Directory

Locations

5434 Carpinteria Ave
Carpinteria, CA 93013
Phone (805) 302-9665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1063739548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 CARPINTERIA AVE",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131423",
            "telephone_number": "805-684-5476",
            "fax_number": "805-684-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 CARPINTERIA AVE",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131423",
            "telephone_number": "805-684-5476",
            "fax_number": "805-684-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A MAYHEW-SUTHERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "MAYHEW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "805-684-5476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8802T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1265404180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teresa A Mayhew, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.