DR. CORNELIUS MIETUS O.D. NPI 1336276757

NPI Information

  • NPI: 1336276757
  • Provider Name: DR. CORNELIUS MIETUS, O.D.
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1125 COAST VILLAGE RD
    SANTA BARBARA, CA
    ZIP 93108
  • Phone: (805) 969-2020

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NPI Details

DR. Cornelius Mietus, O.D. is a vision therapy optometrist in Santa Barbara, CA with 46 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Cornelius Mietus, O.D. NPI is 1336276757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year:1980

The provider's business location address is:

1125 COAST VILLAGE RD
SANTA BARBARA, CA
ZIP 93108-716
Phone: (805) 969-2020

The NPI 1336276757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Photography of the retina (HCPCS:92250)
  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient complete exam of visual system (HCPCS:92004)

The enumeration date for this NPI number is 2/27/2007 and was last updated on 2/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy7012-TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CB204914MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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