Organization Active NPI

Carpinteria Eye Care Center of Optometry

  • Clinic/Center
  • Carpinteria, CA
National Provider Identifier
1508364530
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARPINTERIA EYE CARE CENTER OF OPTOMETRY
Practice address
1013 Casitas Pass Rd
Carpinteria, CA 93013-2108
Phone
(805) 566-0306
Fax
(805) 566-0307
NPI assigned
Jan 24, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steven Roy KleenNPI 1063497741
Title
Partner
Phone
(909) 792-3457

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

Practitioners 4

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180405000030 CA Part B Supplier - Clinic/Group Practice 6002179066 Receives reassigned benefits from 3 practitioners
Practice locations: Carpinteria, CA

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1013 Casitas Pass Rd
Carpinteria, CA 93013-2108

Mailing address

640 Mayrum St
Santa Barbara, CA 93111-2719
Phone (805) 566-0306

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2018.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1508364530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MAYRUM ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112719",
            "telephone_number": "805-566-0306",
            "fax_number": "805-566-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CASITAS PASS RD",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132108",
            "telephone_number": "805-566-0306",
            "fax_number": "805-566-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPINTERIA EYE CARE CENTER OF OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "KLEEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-792-3457"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.