Shepard Eye Center

LBN: Elite Eyecare Medical Group A Medical Corporation
Shepard Eye Center is an health care organization with primary practice located at 910 E Stowell Rd , Santa Maria CA 93454. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Elite Eyecare Medical Group A Medical Corporation can be contacted via phone (805) 925-2637, or through Bylsma, Stephen via phone (805) 925-2637.

Contact Information

Primary practice address
910 E Stowell Rd Santa Maria CA 93454
Phone: (805) 925-2637
Fax: (805) 347-0033
Website:
Map and Directions
Authorized official contact:
Name: Bylsma, Stephen Doctor of Medicine (MD)
Phone: (805) 925-2637

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1578521472
LBN Legal business name Elite Eyecare Medical Group A Medical Corporation
DBA Doing business as Shepard Eye Center
Authorized official Bylsma, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jan 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578521472 NPPES
California Other ZZZ61059Z BLUE SHIELD OF CA
California MEDICAID GSD004610 BLUE SHIELD OF CA
California MEDICAID GR0086921 BLUE SHIELD OF CA

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