Individual provider Active NPI

Aaron Meador Luekenga, OD

  • Optometrist
  • Santa Paula, CA
National Provider Identifier
1760459358
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11919T Issued in CA
Practice address
400 E Santa Barbara St
Suite C
Santa Paula, CA 93060-2675
Phone
(805) 525-6603
Fax
(805) 525-6115
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11919T CA Primary

Addresses

Primary practice location

400 E Santa Barbara St
Suite C
Santa Paula, CA 93060-2675

Mailing address

400 E Santa Barbara St
Suite C
Santa Paula, CA 93060-2675
Phone (805) 525-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000464 CA Practitioner - Optometry 1052325685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 E Santa Barbara St C
Santa Paula, CA 93060-2675
Phone (805) 525-6603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11919TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Eye Care Optometric Center Optometrist CurrentSince May 31, 2005 Accepting new patients
Heritage Valley Eye Care Optometric Center Optometrist CurrentSince May 31, 2005 Accepting new patients

Locations

414 Central Ave
Fillmore, CA 93015
Phone (805) 524-2552

400 E Santa Barbara St
Ste C
Santa Paula, CA 93060
Phone (805) 525-6603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1760459358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE C",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-6603",
            "fax_number": "805-525-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE C",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-6603",
            "fax_number": "805-525-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEKENGA",
        "first_name": "AARON",
        "middle_name": "MEADOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11919T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.