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
Last updated
Dec 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

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.

Specialties & licenses 2

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

Addresses

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

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

Locations

1013 Casitas Pass Rd
Carpinteria, CA 93013
Phone (805) 566-0306

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.