SHEPARD EYE CENTER – NPI #1245548023
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

SHEPARD EYE CENTER is an ophthalmologist located in SANTA MARIA, CA. NPPES has assigned the NPI number 1245548023 to SHEPARD EYE CENTER on September 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHEPARD EYE CENTER” is a dba name, the actual legal business name for this organization is ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 8 years ago on Oct 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHEPARD EYE CENTER below.

NPI Profile for
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

NPI Number
1245548023
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Doing Business As (dba): SHEPARD EYE CENTER
Primary location
1429 S BROADWAY
SANTA MARIA, CA 93454
Phone: (805) 925-9575 Fax: (805) 347-0033
Mailing address
910 E STOWELL RD
SANTA MARIA, CA 93454-7001
Phone: (805) 925-2637 Fax: (805) 347-0033
Organization Subpart
No
Authorized Official
KENNETH KENDALL
CEO
Phone: (805) 922-2637
Updated
Identifiers

Identifiers for SHEPARD EYE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0086921
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.