Dennis R Bales, O.D.
Individual provider Active NPI Optometrist · Solvang, CA
NPI 1477528099 · NPPES record last updated Sep 28, 2011
Key facts
- NPI
- 1477528099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5812T (CA)
- Practice address
- 2040 Viborg Rd
Suite 240
Solvang, CA 93463-2272 - Phone
- (805) 688-0707
- Fax
- (805) 693-9839
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5812T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Interoperability endpoints
- dbales@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5812T | CA | Yes |
| Corneal and Contact Management Optometrist | 152WC0802X | 5812T | CA |
Addresses
Primary practice location
2040 Viborg Rd
Suite 240
Solvang, CA 93463-2272
Mailing address
2040 Viborg Rd
Suite 240
Solvang, CA 93463-2272
Phone (805) 688-0707
Other providers in Solvang, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.