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PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE NPI 1013034537


NPI Information

NPI: 1013034537
Provider Name: PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE

Former Legal Business Name: PRIMARY EYECARE CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
764 SANTA ROSA ST
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-1447
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PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE is an optometrist in San Luis Obispo, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE NPI is 1013034537. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Primary Eyecare Center.

The provider's business location address is:

764 SANTA ROSA ST
SAN LUIS OBISPO, CA
ZIP 93401-804
Phone: (805) 543-1447
Fax: (805) 543-4778

The provider's authorized official is Steven Sage Hider .
The authorized official title is Optometrist And Partner and has the following contact phone number (805) 466-3777.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/25/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GSD000531MEDICAIDCALIFORNIA
20343970002MEDICARE NSCCALIFORNIA
3WY005MEDICARE PINCALIFORNIA
4CD9792OTHERCALIFORNIARAILROAD MEDICARE

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: 4/28/2024

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