Goleta Valley Optometry Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

10171TLG Issued in CA

Legal business name

GOLETA VALLEY OPTOMETRY INC

Practice address

5122 Hollister Ave
Santa Barbara, CA 93111-2526

Phone

(805) 451-8180

Fax

(805) 456-1994

NPI assigned

Apr 17, 2017

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cory Bream, ODNPI 1053468439

Title

Majority Owner

Phone

(805) 451-8180

Specialties & licenses 2

Addresses

Other names 1

• Goleta Valley Optometry Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Cory Bream, O.D.

  • Optometrist
  • Goleta, CA
  • NPI 1053468439
  Medicare reassignment Care Compare group Authorized official
• April Shirley Huang, OD

  • Optometrist
  • Long Beach, CA
  • NPI 1497372890
  Medicare reassignment Care Compare group NPD
• Cailyn Katsev Ruck, OD

  • Optometrist
  • Santa Barbara, CA
  • NPI 1093232456
  Medicare reassignment Care Compare group NPD
• Carter Keith Andersen, O.D.

  • Optometrist
  • Carpinteria, CA
  • NPI 1427344142
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1770017642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112526",
            "telephone_number": "805-451-8180",
            "fax_number": "805-456-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112526",
            "telephone_number": "805-451-8180",
            "fax_number": "805-456-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLETA VALLEY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BREAM",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "MAJORITY OWNER",
        "authorized_official_telephone_number": "805-451-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10171TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goleta Valley Optometry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hanna Goldstein, MFT TRAINEE
• Dara Anne Goldyne, M.A.
• Goleta Acupuncture Wellness Clinic
• Goleta Valley Cottage Hospital
• Goleta Valley Medical Pharmacy
• Rebecca D Golgert, MD
• William Alan Golgert, M.D.
• Harkiran Golhar
• Christina Gomes
• Savannah Gomes, ASW, PPSC

• Corneal and Contact Management Optometrist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.