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CENTRAL COAST EYE ASSOCIATES INC NPI 1841208758


NPI Information

NPI: 1841208758
Provider Name: CENTRAL COAST EYE ASSOCIATES INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
628 CALIFORNIA BLVD
STE C
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 544-0102
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CENTRAL COAST EYE ASSOCIATES 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. CENTRAL COAST EYE ASSOCIATES INC NPI is 1841208758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 CALIFORNIA BLVD
STE C
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 544-0102
Fax: (805) 546-2445

The provider's authorized official is Glen F Oekler .
The authorized official title is President and has the following contact phone number (805) 544-0102.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 10/17/2007.


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
1207W00000XOphthalmologyYes

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
1GR0026760MEDICAIDCALIFORNIA
2GR0026761MEDICAIDCALIFORNIA
3W287AMEDICARE PINCALIFORNIA
4W287CMEDICARE PINCALIFORNIA
5W287DMEDICARE PINCALIFORNIA
6CP5106MEDICARE PINCALIFORNIA
7W287BMEDICARE PINCALIFORNIA
8W287MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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