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SAN LUIS OBISPO EYE ASSOCIATES A MEDICAL GROUP INC. NPI 1548311061


NPI Information

NPI: 1548311061
Provider Name: SAN LUIS OBISPO EYE ASSOCIATES, A MEDICAL GROUP INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
689 TANK FARM RD
SUITE 100
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-3937
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SAN LUIS OBISPO EYE ASSOCIATES, A MEDICAL GROUP INC. is an ophthalmology in San Luis Obispo, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SAN LUIS OBISPO EYE ASSOCIATES, A MEDICAL GROUP INC. NPI is 1548311061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

689 TANK FARM RD
SUITE 100
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-3937
Fax: (805) 781-9013

The provider's authorized official is Michelle Mele .
The authorized official title is Practice Administrator and has the following contact phone number (805) 781-3937.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 7/21/2022.


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
1152W00000XOptometristCALIFORNIANo
2332B00000XDurable Medical Equipment & Medical SuppliesCALIFORNIANo
3332H00000XEyewear SupplierCALIFORNIANo
4207W00000XOphthalmologyCALIFORNIAYes

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
1GR0068240MEDICAIDCALIFORNIA

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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