Individual
DR. TIFFANY CORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5300 HOLLISTER AVE, SANTA BARBARA, CA 93111-2306
(805) 692-6977
(805) 692-6987
Mailing address
5300 HOLLISTER AVE, SANTA BARBARA, CA 93111-2306
(805) 692-6977
(805) 692-6987
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
11870T
CA
152WP0200X
Pediatric Optometrist
11870T
CA
152WV0400X
Vision Therapy Optometrist
11870T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11870T
OPT. LISC #
CA
01
—
59-3792228
CURRENT TAX ID#
—
01
—
77-0049461
OLD TAX ID#
—
Enumeration date
07/08/2006
Last updated
03/07/2023
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