Sibal Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SIBAL OPTOMETRY, INC.

Practice address

11990 Los Osos Valley Rd
San Luis Obispo, CA 93405-6861

Phone

(805) 858-9914

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Mariah Sibal, ODNPI 1295322576

Title

Ceo

Phone

(510) 586-8476

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mariah Sibal, OD

  • Optometrist
  • San Luis Obispo, CA
  • NPI 1295322576
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1508451345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 LOS OSOS VALLEY RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056861",
            "telephone_number": "805-858-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 LOS OSOS VALLEY RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056861",
            "telephone_number": "805-858-9914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Stevens Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951171141",
            "country_code": "US",
            "telephone_number": "408-985-2999",
            "fax_number": "408-985-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIBAL OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SIBAL",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-586-8476",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Shores, MS, BCBA
• Jessie Shorts
• Amanda Shrewsbury
• Ryan Davin Shurson, LMFT
• Faris Shweikeh, M.D.
• Mariah Sibal, OD
• Alex Sicaud
• John Barry Siebenlist, M.D.
• Lawrence Zachary Siegler, MFT
• Sierra Mental Wellness

• Optometrist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.