Individual
DR. LUKE WERKHOVEN
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
Mailing address
5300 HOLLISTER AVE, SANTA BARBARA, CA 93111-2306
(805) 692-6977
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
11977T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
11977T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11977T
STATE OPT LISC. #
CA
01
—
59-3792228
CURRENT TAX ID #
—
01
—
77-0049461
OLD TAX ID#
—
01
—
WY622
MEDICARE
—
Enumeration date
07/08/2006
Last updated
03/07/2023
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