SHEPARD EYE CENTER – NPI #1578521472
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.

Health Care Provider Taxonomy Code for Ophthalmology

SHEPARD EYE CENTER is an ophthalmologist located in SANTA MARIA, CA. NPPES has assigned the NPI number 1578521472 to SHEPARD EYE CENTER on May 02, 2006. 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. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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 4 years ago on Jan 14, 2022. 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
1578521472
Enumeration Date

(more than 20 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
910 E STOWELL RD
SANTA MARIA, CA 93454
Phone: (805) 925-2637 Fax: (805) 347-0033
2 Other location(s):
590 Harbor St
Morro Bay, CA 93442-1904
Phone: (805) 772-1269
4850 S Bradley Rd Ste A2
Orcutt, CA 93455-5071
Phone: (805) 937-9532
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN BYLSMA
PRESIDENT
Phone: (805) 925-2637
Updated
Certification Date
Jan 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
OTHERBLUE SHIELD OF CACAZZZ61059Z
MEDICAIDCAGSD004610
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)
152W00000X
- Optometrist

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.