Cailyn Katsev Ruck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33892TLG Issued in CA

Practice address

2946 De la Vina St
Santa Barbara, CA 93105-3310

Phone

(314) 432-1134

Fax

(314) 432-1135

NPI assigned

Aug 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cailyn Christine Katsev Former name

Medicare fee-for-service enrollment

Enrolled in MO, CA2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Barbara Eyecare Inc a Professional Medical CorporationGroup PAC ID 7719309004, 5 clinicians

Goleta Valley Optometry IncGroup PAC ID 0648501858, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.16 of 100Reported as group

Quality

68.31

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: cailynkatsev@direct.eyecare-partners.com

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

• Goleta Valley Optometry Inc

  • Corneal and Contact Management Optometrist
  • Santa Barbara, CA
  • NPI 1770017642
  Medicare reassignment Care Compare group NPD
• Santa Barbara Eyecare Inc., a Professional Medical Corporation

  • Ophthalmology Physician
  • Santa Barbara, CA
  • NPI 1245851534
  Medicare reassignment Care Compare group NPD
• Bream Optometry, Inc.

  • Optometrist
  • Goleta, CA
  • NPI 1427410406
  Medicare reassignment NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1093232456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053310",
            "telephone_number": "805-967-9990",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053310",
            "telephone_number": "314-432-1134",
            "fax_number": "314-432-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 Hollister Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931112800",
            "country_code": "US",
            "telephone_number": "805-451-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCK",
        "first_name": "CAILYN",
        "middle_name": "KATSEV",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017020394",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33892TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33892TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAILYN",
            "last_name": "KATSEV",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith E Rubenstein, LMFT
• Jill T. Rubin, MSW
• Lewis Isaac Rubin, M.D.
• Sergio R Rubio, M.D.
• Robert R. Ruby, DDS
• Clifford J Ruddle, D.D.S.
• Rudy Ruderman, LMFT
• Janice Rudestam, PH.D.
• Kjell Erik Rudestam, PH.D.
• Lynn A Rudman, MD

• Optometrist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.