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SHEPARD EYE CENTER
NPI 1245548023
Ophthalmology in Santa Maria, CA

Active since September 15, 2010CLIA 05D2087013 · Waiver
1429 S BROADWAY, SANTA MARIA, CA 93454(805) 925-9575(805) 347-0033 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2018, Jul 26, 2018 (2 updates tracked since 2018).

About Shepard Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPARD EYE CENTER (NPI 1245548023) is a healthcare organization registered as an ophthalmology in Santa Maria, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Kenneth R Kendall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245548023
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Location Address1429 S BROADWAYSanta Maria, CA 93454
Mailing Address910 E Stowell RdSanta Maria, CA 93454-7001 · (805) 925-2637 · Fax (805) 347-0033
Phone(805) 925-9575
Fax(805) 347-0033
Organization SubpartNo
Authorized OfficialKenneth R KendallCeo · (805) 922-2637
Enumeration DateSeptember 15, 2010
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
✔ NPI 1245548023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
1429 S BROADWAY, Santa Maria, CA 93454
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Other Names 1

Doing Business AsShepard Eye Center

Other Identifiers 1

MedicaidGR0086921CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2087013

Shepard Eye Center · Santa Maria, CA
Active · expires Nov 13, 2026
CLIA Number05D2087013
Laboratory TypeOphthalmology
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorShahriar R. Zarnegar
Laboratory Phone(805) 925-2637
Laboratory LocationShepard Eye Center910 E Stowell Rd, Santa Maria, CA 93454
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN R PREWETT O D INC
Optometrist
1429 S BROADWAY
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-9575
DR. JOHN RADER PREWETT O.D.
Optometrist
1429 S BROADWAY
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-9575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Eyecare Medical Group A Medical Corporation's NPI number?

The NPI number for Elite Eyecare Medical Group A Medical Corporation is 1245548023. It was assigned to this organization in the NPPES registry on September 15, 2010. The provider is doing business as Shepard Eye Center.

Where is Elite Eyecare Medical Group A Medical Corporation located?

Elite Eyecare Medical Group A Medical Corporation is located at 1429 S Broadway, Santa Maria, CA 93454. The listed phone number is (805) 925-9575.

What is Elite Eyecare Medical Group A Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Elite Eyecare Medical Group A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2087013) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Eyecare Medical Group A Medical Corporation was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.