DR. DEREK BRIAN LAURITZEN M.D. NPI 1841348166

NPI Information

  • NPI: 1841348166
  • Provider Name: DR. DEREK BRIAN LAURITZEN, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 941 CALIFORNIA BLVD
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 434-2350

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NPI Details

DR. Derek Brian Lauritzen, M.D. is a retina specialist ophthalmology in San Luis Obispo, CA with 34 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Derek Brian Lauritzen, M.D. NPI is 1841348166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

941 CALIFORNIA BLVD
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 434-2350
Fax: (805) 434-9888

The NPI 1841348166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Photography of the retina (HCPCS:92250)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 1/5/2007 and was last updated on 3/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyG77319CALIFORNIANo
2207WX0107XOphthalmologyRetina SpecialistG77319CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17808216OTHERCALIFORNIAAETNA PIN
200G773190MEDICAIDCALIFORNIA
3G77319OTHERCALIFORNIABLUE CROSS
400G773190OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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: 11/21/2025

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