Individual
DR. CHIYOTAKA NOMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
152W00000X
Optometrist
Primary
006765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006765T
OPT LISC. #
CA
01
—
40937
DAVIS VISION ID #
CA
01
—
6607
MEDICAL EYE SERVICES #
CA
01
—
CA6765/MH67PQ
EYEMED ID#
CA
01
—
SD0067650
BLUESHEILD ID#
CA
Enumeration date
07/08/2006
Last updated
03/07/2023
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