DENNIS D SHEPARD MD INC NPI 1982662771

NPI Information

NPI: 1982662771
Provider Name: DENNIS D SHEPARD MD INC

Doing Business As: SHEPARD EYE CENTER MEDICAL GROUP

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1418 E MAIN ST
STE 110
SANTA MARIA, CA
ZIP 93454
Phone: (805) 614-7005
Get Directions

DENNIS D SHEPARD MD INC is an ambulatory surgical clinic center in Santa Maria, CA. DENNIS D SHEPARD MD INC NPI is 1982662771. The provider is registered as an organization entity type.
The provider Is Doing Business As Shepard Eye Center Medical Group.

The provider's business location address is:

1418 E MAIN ST
STE 110
SANTA MARIA, CA
ZIP 93454
Phone: (805) 614-7005
Fax: (805) 614-7006

The provider's authorized official is Dennis Shepard .
The authorized official title is President and has the following contact phone number (805) 614-7005.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 4/24/2008.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	050000322	CALIFORNIA	Yes

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
1	S051010	MEDICARE ID-TYPE UNSPECIFIED
2	ZZZH4200Z	OTHER	CALIFORNIA	BLUE SHIELD OF CA
3	490004566	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE
4	SUR01010F	MEDICAID	CALIFORNIA

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: 5/5/2024

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