Active NPI
Chiyotaka Nomura, O.D.
- Optometrist
- Santa Barbara, CA
National Provider Identifier
1821021502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006765
- Practice address
- 5300 Hollister Ave
Santa Barbara, CA 93111-2306 - Phone
- (805) 692-6977
- Fax
- (805) 692-6987
- NPI assigned
- Jul 8, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 006765 | CA | Primary |
Addresses
Primary practice location
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Mailing address
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone (805) 692-6977
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40937 | Other | CA | DAVIS VISION ID # |
| SD0067650 | Other | CA | BLUESHEILD ID# |
| 6607 | Other | CA | MEDICAL EYE SERVICES # |
| CA6765/MH67PQ | Other | CA | EYEMED ID# |
| 006765T | Other | CA | OPT LISC. # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1979
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5300 Hollister Ave
Santa Barbara, CA 93111-2306
Phone (805) 692-6977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006765 | CA | MD | Optometrist |
| 6765 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye and Vision Care Optometric Group | Optometrist | Current | Accepting new patients |
Locations
5300 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 692-6977
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eye & Vision Care of Santa Barbara
- Optometrist
- Santa Barbara, CA
- NPI 1073658795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821021502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 HOLLISTER AVE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112306",
"telephone_number": "805-692-6977",
"fax_number": "805-692-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 HOLLISTER AVE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112306",
"telephone_number": "805-692-6977",
"fax_number": "805-692-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMURA",
"first_name": "CHIYOTAKA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "006765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION ID #",
"identifier": "40937",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHEILD ID#",
"identifier": "SD0067650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES #",
"identifier": "6607",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED ID#",
"identifier": "CA6765/MH67PQ",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPT LISC. #",
"identifier": "006765T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.