Individual provider Active NPI

Dawn Woods, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1376568618
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07390T Issued in CA
Practice address
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone
(805) 692-6977
Fax
(805) 692-6987
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07390T CA Primary

Addresses

Primary practice location

5300 Hollister Ave
Santa Barbara, CA 93111-2306

Mailing address

5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone (805) 692-6977

Other identifiers 7

IdentifierTypeStateIssuer
40937OtherCADAVIS VISION ID #
CA7390OtherCAEYEMED ID#
07390TOtherCAOPT LISC #
77-0049461OtherOLD TAX ID#
SD0073900OtherCABLUESHEILD ID#
59-3792228OtherCURRENT TAX ID #
6608OtherCAMEDICAL EYE SERVICES ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7390CAMDMental Health Counselor
07390TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1376568618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112306",
            "telephone_number": "805-692-6977",
            "fax_number": "805-692-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112306",
            "telephone_number": "805-692-6977",
            "fax_number": "805-692-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07390T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION ID #",
            "identifier": "40937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID#",
            "identifier": "CA7390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT LISC #",
            "identifier": "07390T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID#",
            "identifier": "77-0049461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHEILD ID#",
            "identifier": "SD0073900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT TAX ID #",
            "identifier": "59-3792228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES ID#",
            "identifier": "6608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2009; 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.