Organization Active NPI

Silver Strand Optometry Corp

  • Optometrist
  • Port Hueneme, CA
National Provider Identifier
1316516636
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SILVER STRAND OPTOMETRY CORP
Practice address
465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102
Phone
(805) 486-3585
Fax
(805) 486-3586
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Kimberly Castillo, ODNPI 1063911576
Title
Doctor/Owner
Phone
(805) 486-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102

Mailing address

465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102
Phone (805) 486-3585

Other identifiers 1

IdentifierTypeStateIssuer
1063911576OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105002159 CA Part B Supplier - Clinic/Group Practice 2567865280 Receives reassigned benefits from 1 practitioner
Practice locations: Port Hueneme, CA

National Provider Directory

National Provider Directory

Locations

125 E Gonzales Rd
Oxnard, CA 93036
Phone (805) 485-4854

465 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 486-3585

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1316516636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585",
            "fax_number": "805-486-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STRAND OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "805-486-3585",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1063911576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.