Individual provider Active NPI

Tiffany Corby, O.D.

  • Corneal and Contact Management Optometrist
  • Santa Barbara, CA
National Provider Identifier
1164455812
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
11870T Issued in CA
Practice address
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone
(805) 692-6977
Fax
(805) 692-6987
NPI assigned
Jul 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11870T CA Primary
Pediatric Optometrist 152WP0200X 11870T CA
Vision Therapy Optometrist 152WV0400X 11870T CA

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 3

IdentifierTypeStateIssuer
59-3792228OtherCURRENT TAX ID#
77-0049461OtherOLD TAX ID#
11870TOtherCAOPT. LISC #

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
I20080119000087 CA Practitioner - Optometry 7618058306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Eye and Vision Care Optometric GroupGroup PAC ID 7719068402, 5 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11870TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye and Vision Care Optometric Group CurrentSince Sep 1, 2006 Accepting new patients

Locations

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164455812",
    "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": {
        "last_name": "CORBY",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11870T",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11870T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11870T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT TAX ID#",
            "identifier": "59-3792228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID#",
            "identifier": "77-0049461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT. LISC #",
            "identifier": "11870T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.