Active NPI
Teresa A Mayhew-Sutherland, O.D.
- Optometrist
- Santa Barbara, CA
National Provider Identifier
1265404180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8802T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0088020 | Medicaid | CA | |
| SD008802 | Medicaid | CA |
Other names 1
- Dr. Teresa Ann Mayhew
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8802T | CA | MD | Optometrist |
| ODP-778 | ID | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.