Organization Active NPI

Eye Surgical Medical Group of Santa Barbara Inc.

Doing business as William H. Coulter, M.D.

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1285763029
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C29906 Issued in CA
Legal business name
EYE SURGICAL MEDICAL GROUP OF SANTA BARBARA INC.
Doing business as
William H. Coulter, M.D.
Practice address
533 E Micheltorena St
Suite 103
Santa Barbara, CA 93103-2200
Phone
(805) 564-8917
Fax
(805) 564-8917
NPI assigned
Mar 5, 2007
Last updated
Jun 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. William Harold Coulter, M.D.
Title
President
Phone
(805) 564-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C29906 CA Primary

Addresses

Primary practice location

533 E Micheltorena St
Suite 103
Santa Barbara, CA 93103-2200

Mailing address

533 E Micheltorena St
Suite 103
Santa Barbara, CA 93103-2200
Phone (805) 564-8917

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ74574ZMedicaidCA

Other names 1

  • William H. Coulter, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

533 E Micheltorena St
Ste 103
Santa Barbara, CA 93103
Phone (805) 564-8917

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1285763029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E MICHELTORENA ST",
            "address_2": "SUITE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032200",
            "telephone_number": "805-564-8917",
            "fax_number": "805-564-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E MICHELTORENA ST",
            "address_2": "SUITE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032200",
            "telephone_number": "805-564-8917",
            "fax_number": "805-564-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL MEDICAL GROUP OF SANTA BARBARA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-564-8917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C29906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74574Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William H. Coulter, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.