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DUISTERMARS OPTOMETRIC CORPORATION
NPI 1508054685
Optometrist in San Luis Obispo, CA

Active since October 14, 2007
628 CALIFORNIA BLVD, STE. C, SAN LUIS OBISPO, CA 93401(805) 546-1988 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Duistermars Optometric Corporation NPPES

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

DUISTERMARS OPTOMETRIC CORPORATION (NPI 1508054685) is a healthcare organization registered as an optometrist in San Luis Obispo, California and active in the NPI registry since October 2007. The organization lists Gregg Duistermars, President, as its authorized official.

NPPES Registry Identity

NPI1508054685
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDUISTERMARS OPTOMETRIC CORPORATION
Location Address628 CALIFORNIA BLVD, STE. CSan Luis Obispo, CA 93401-2542
Mailing Address628 California Blvd, Ste CSan Luis Obispo, CA 93401-2547 · (805) 546-1988
Phone(805) 546-1988
Organization SubpartNo
Authorized OfficialGregg DuistermarsPresident · (805) 546-1988
Enumeration DateOctober 14, 2007
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1508054685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 11247T
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.
628 CALIFORNIA BLVD, San Luis Obispo, CA 93401
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Other Identifiers 3

Medicare UPINT82765
Medicare PINWY164CA
Medicare NSC4355110001CA

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 9

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

BRIAN BOLENBAUGH
Hearing Instrument Specialist
628 CALIFORNIA BLVD, SUITE F
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-3277
MARK D SHERMAN MD
Ophthalmology
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
KIMBERLY D JOHNSON O.D.
Optometrist
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
LAWRENCE J FOGEL MD
Psychiatry & Neurology (Neurology)
628 CALIFORNIA BLVD, SUITE A-3
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-1683
STEVEN C JOHNSON MD
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
RANDALL L LONSBROUGH DDS
Dentist (Prosthodontics)
628 CALIFORNIA BLVD, STE F1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-3204
RETINA SPECIALISTS OF THE CENTRAL COAST INC
Ophthalmology
628 CALIFORNIA BLVD, SUITE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
CENTRAL COAST EYE ASSOCIATES INC
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Duistermars Optometric Corporation's NPI number?

The NPI number for Duistermars Optometric Corporation is 1508054685. It was assigned to this organization in the NPPES registry on October 14, 2007.

Where is Duistermars Optometric Corporation located?

Duistermars Optometric Corporation is located at 628 California Blvd Ste. C, San Luis Obispo, CA 93401. The listed phone number is (805) 546-1988.

What is Duistermars Optometric Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Duistermars Optometric Corporation was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.