Individual provider Active NPI

Teresa A Mayhew-Sutherland, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1265404180
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8802T Issued in CA
Practice address
127 Santo Tomas LN
Santa Barbara, CA 93108-2516
Phone
(805) 565-2006
Fax
(805) 565-2006
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-778 ID
Optometrist 152W00000X 8802T CA Primary

Addresses

Primary practice location

127 Santo Tomas LN
Santa Barbara, CA 93108-2516

Mailing address

5434 Carpinteria Ave
Carpinteria, CA 93013-1423
Phone (805) 684-5476

Other practice location 1

1013 Casitas Pass Rd
Carpinteria, CA 93013-2108
Phone (805) 566-0306

Other identifiers 2

IdentifierTypeStateIssuer
SD0088020MedicaidCA
SD008802MedicaidCA

Other names 1

  • Dr. Teresa Ann Mayhew Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL carpeyedoc@yahoo.com Direct
CONNECT URL carpeyedoc@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8802TCAMDOptometrist
ODP-778IDMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1265404180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 CARPINTERIA AVE",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131423",
            "telephone_number": "805-684-5476",
            "fax_number": "805-684-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SANTO TOMAS LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082516",
            "telephone_number": "805-565-2006",
            "fax_number": "805-565-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Casitas Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Carpinteria",
            "state": "CA",
            "postal_code": "930132108",
            "country_code": "US",
            "telephone_number": "805-566-0306",
            "fax_number": "805-566-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYHEW-SUTHERLAND",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-778",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8802T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD008802",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carpeyedoc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 Santo Tomas Ln",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931082516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carpeyedoc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 Santo Tomas Ln",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931082516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MAYHEW",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.