| NPI | 1164497905 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-02-22 |
| Last Updated | 2015-07-07 |
| Authorized Official | Aaron Luekenga Treasurer Phone: 8055256603 |
| Mailing Address | 400 E Santa Barbara St, Ste C Santa Paula, CA 93060-2675 United States Phone: (805) 525-6603 | Fax: (805) 525-6115 📍 View Map |
| Primary Practice Address | 400 E Santa Barbara St, Ste C Santa Paula, CA 93060-2675 United States Phone: (805) 525-6603 | Fax: (805) 525-6115 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | GSD000080 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | CA | COR618 |
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About NPI 1164497905
Heritage Valley Eye Care Optometric Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1164497905. The primary specialty listed is Optometrist. The organization is located in Santa Paula, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164497905?
NPI 1164497905 belongs to Heritage Valley Eye Care Optometric Center, a Optometrist in Santa Paula, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164497905 active?
The current status of NPI 1164497905 in the NPPES registry is Active. The record was last updated on 2015-07-07.
What specialty is NPI 1164497905?
NPI 1164497905 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164497905?
You can verify NPI 1164497905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164497905?
The primary practice address on file for NPI 1164497905 is 400 E Santa Barbara St, Santa Paula, CA 93060-2675. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164497905 issued?
NPI 1164497905 was first issued (enumerated) on 2006-02-22. The NPPES record was last updated on 2015-07-07.
Practice Location Map
Heritage Valley Eye Care Optometric Center is located at 400 E Santa Barbara St, Santa Paula, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Heritage Valley Eye Care Optometric Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164497905. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | COR618 | CA |