Individual
CORY BREAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7095 MARKET PLACE DR, GOLETA, CA 93117-5905
(805) 562-1300
(805) 562-1301
Mailing address
3635 SANTA MARIA LN, SANTA BARBARA, CA 93105-3227
(805) 562-1300
(805) 562-1301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
101071T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0646638
TAX ID
CA
01
—
SD0101710
MEDICAL
CA
Enumeration date
01/05/2007
Last updated
02/24/2016
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