BRADLEY KOVACH OD A PROFESSIONAL OPTOMETRIC CORPORATION
NPI 1265383509
Optometrist in San Luis Obispo, CA

Active since February 04, 2026
1540 FROOM RANCH WAY, SAN LUIS OBISPO, CA 93405(805) 544-0450 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2026, Apr 30, 2026, Feb 4, 2026 (3 updates tracked since 2026).

About Bradley Kovach Od A Professional Optometric Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY KOVACH OD A PROFESSIONAL OPTOMETRIC CORPORATION (NPI 1265383509), doing business as Kovach Coastal Optometry, is a healthcare organization registered as an optometrist in San Luis Obispo, California and active in the NPI registry since February 2026. The organization lists Bradley Peter Kovach, President, as its authorized official.

NPPES Registry Identity

NPI1265383509
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRADLEY KOVACH OD A PROFESSIONAL OPTOMETRIC CORPORATION
Location Address1540 FROOM RANCH WAYSan Luis Obispo, CA 93405-7211
Mailing Address1540 Froom Ranch WaySan Luis Obispo, CA 93405-7211 · (804) 544-0450 · Fax (805) 540-5896
Organization SubpartNo
Authorized OfficialBradley Peter KovachPresident · (408) 612-5525
Enumeration DateFebruary 4, 2026
Last NPPES UpdateJune 21, 20263 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
NPI 1265383509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

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.

1540 FROOM RANCH WAY, San Luis Obispo, CA 93405

Other Names 1

Doing Business AsKovach Coastal Optometry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Pharmacist (Pharmacotherapy)
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Pharmacist
1540 FROOM RANCH WAY, PHARMACY
SAN LUIS OBISPO, CA 93405
Pharmacist (Pharmacotherapy)
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Hearing Aid Equipment
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Eyewear Supplier
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Pharmacist
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405
Pharmacist
1540 FROOM RANCH WAY
SAN LUIS OBISPO, CA 93405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265383509, enumerated as an "organization" on February 04, 2026.

The provider is located at 1540 FROOM RANCH WAY SAN LUIS OBISPO, CA 93405 and the phone number is (805) 544-0450.

Optometrist with taxonomy code 152W00000X.