Cornelius Mietus, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

7012-T Issued in CA

Practice address

1125 Coast Village Rd
Santa Barbara, CA 93108-2716

Phone

(805) 969-2020

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialty

Optometry

Education

Southern California College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1336276757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 COAST VILLAGE RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082716",
            "telephone_number": "805-969-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 COAST VILLAGE RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082716",
            "telephone_number": "805-969-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIETUS",
        "first_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "7012-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Michel-Jaime, ASW
• Alicia Michelson
• Allison Michie
• Ann Margaret Mickadeit, RN
• Monica Micon, M.D.
• Mihaela Nursing Services
• Jaye Sandra Miles
• Herschelle Patricia Milford
• John Lester Milhoan, DC
• Virginia Gross Milhoan, DC

• Vision Therapy Optometrist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.