Organization Active NPI

Eye and Vision Care Optometric Group

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1073658795
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11977T Issued in CA
Legal business name
EYE AND VISION CARE OPTOMETRIC GROUP
Practice address
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone
(805) 692-6977
Fax
(805) 692-6987
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Luke Werkhoven, O.D.NPI 1861425662
Title
Partner
Phone
(805) 692-6977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11977T CA Primary

Addresses

Primary practice location

5300 Hollister Ave
Santa Barbara, CA 93111-2306

Mailing address

5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone (805) 692-6977

Other identifiers 9

IdentifierTypeStateIssuer
CA 6765OtherCAEYEMED TAKA NOMURA
OP 1977TOtherCAOD LISC # LUKE WERKHOVEN
OP 7390TOtherCAOD LISC# DAWN WOODS
6608OtherMEDICAL EYE SERVICES
OP 006765OtherCAOPTOMETRY LISC TAKA NOMUR
OP 11870TOtherCAOD LISC # TIFFANY CORBY
SD 0067650OtherCABLUE SHEILD TAKA NOMURA
40937OtherDAVIS VISION TAKA NOMURA
6607OtherMEDICAL EYE SERVICES

Other names 1

  • Eye & Vision Care of Santa Barbara Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080119000044 CA Part B Supplier - Clinic/Group Practice 7719068402 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Barbara, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2080831Eye & Vision Care5300 Hollister Avenue, Santa Barbara, CA 93111Certificate of waiverJul 14, 2026

National Provider Directory

National Provider Directory

Locations

5300 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 692-6977

Practitioners & affiliated clinicians

Practitioners 8

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073658795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112306",
            "telephone_number": "805-692-6977",
            "fax_number": "805-692-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112306",
            "telephone_number": "805-692-6977",
            "fax_number": "805-692-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE AND VISION CARE OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WERKHOVEN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-692-6977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11977T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED TAKA NOMURA",
            "identifier": "CA 6765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LISC # LUKE WERKHOVEN",
            "identifier": "OP 1977T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LISC# DAWN WOODS",
            "identifier": "OP 7390T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "6608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LISC TAKA NOMUR",
            "identifier": "OP 006765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LISC # TIFFANY CORBY",
            "identifier": "OP 11870T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD TAKA NOMURA",
            "identifier": "SD 0067650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION TAKA NOMURA",
            "identifier": "40937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "6607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye & Vision Care of Santa Barbara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.