Individual provider Active NPI

Morgan Alyssa Ruiz, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1093140733
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14758 Issued in CA
Practice address
3855 State St
Santa Barbara, CA 93105-3152
Phone
(805) 682-5799
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14758 CA Primary

Addresses

Primary practice location

3855 State St
Santa Barbara, CA 93105-3152

Mailing address

3848 Pemm PL
Santa Barbara, CA 93110-1535
Phone (805) 689-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000668 CA Practitioner - Optometry 2365753100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5434 Carpinteria Ave
Carpinteria, CA 93013-1423

PO Box
Suite 81
Grayslake, IL 60030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14758CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Eye Care Optometric Center Optometrist CurrentSince May 18, 2015 Accepting new patients
Heritage Valley Eye Care Optometric Center Optometrist CurrentSince May 18, 2015 Accepting new patients
Teresa a Mayhew-Sutherland Optometrist PastSince May 18, 2015 Accepting new patients
Two Trees Optometry PC Optometrist Past Accepting new patients

Locations

414 Central Ave
Fillmore, CA 93015
Phone (805) 524-2552

400 E Santa Barbara St
Ste C
Santa Paula, CA 93060
Phone (805) 525-6603

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1093140733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 PEMM PL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101535",
            "telephone_number": "805-689-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053152",
            "telephone_number": "805-682-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MORGAN",
        "middle_name": "ALYSSA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.