SHEPARD EYE CENTER
NPI 1245548023
Ophthalmology in Santa Maria, CA

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

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

Active since September 15, 2010

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: October 25, 2026.

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

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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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shepard Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Shepard Eye Center, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Optometry12

Ophthalmology8