Carey Beth Poultney, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11946T Issued in CA

Practice address

3301 E Main St
Pacific View Mall Ste. 1006
Ventura, CA 93003-5076

Phone

(805) 650-3196

Fax

(805) 650-1682

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Topa Topa Optometry, Inc

  • Optometrist
  • Ojai, CA
  • NPI 1235356437
  Medicare reassignment NPD
• Dr. Carey B. Poultney, O.D., a Professional Optometric Corporation

  • Optometrist
  • Ventura, CA
  • NPI 1104572767
  NPD Authorized official
• Heritage Valley Eye Care Optometric Center

  • Optometrist
  • Fillmore, CA
  • NPI 1336202225
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164573473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DALY RD",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930231936",
            "telephone_number": "805-794-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E MAIN ST",
            "address_2": "PACIFIC VIEW MALL STE. 1006",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035076",
            "telephone_number": "805-650-3196",
            "fax_number": "805-650-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTNEY",
        "first_name": "CAREY",
        "middle_name": "BETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11946T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Popovich, LVN
• Nancy Porcella, M.A. SPEECH PATH
• Richard Porras
• Lisa Leigh Postas
• Marie-Noelle Poulin
• Pow Physical Therapy
• Pow Physical Therapy, a Professional Corporation
• Russell Thomas Powell, M.D.
• Kaitlyn June Prado
• Samantha Rosemary Prado

• Optometrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.