Mayhew-Sutherland, Teresa A

Mayhew-Sutherland, Teresa A is an sole proprietor health care provider with primary practice located at 127 Santo Tomas Ln , Santa Barbara CA 93108-2516. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mayhew-Sutherland, Teresa A can be contacted via phone (805) 565-2006.

Contact Information

Primary practice address
127 Santo Tomas Ln Santa Barbara CA 93108-2516
Phone: (805) 565-2006
Fax: (805) 565-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-778 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 8802T California

Profile Details

NPI number 1265404180
LBN Legal business name Mayhew-Sutherland, Teresa A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Mar 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265404180 NPPES
California MEDICAID SD0088020
California MEDICAID SD008802

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