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SHEPARD EYE CENTER
NPI 1710216957
Ophthalmology in San Luis Obispo, CA

Active since December 17, 2009
1245 BROAD ST, SAN LUIS OBISPO, CA 93401(805) 542-0700 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2018, Jul 26, 2018 (2 updates tracked since 2018).

About Shepard Eye Center NPPES

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

SHEPARD EYE CENTER (NPI 1710216957) is a healthcare organization registered as an ophthalmology in San Luis Obispo, California and active in the NPI registry since December 2009. The organization lists Stephen S Bylsma, President, as its authorized official.

NPPES Registry Identity

NPI1710216957
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Location Address1245 BROAD STSan Luis Obispo, CA 93401
Mailing Address910 E Stowell RdSanta Maria, CA 93454-7001 · (805) 925-2637 · Fax (805) 347-0033
Phone(805) 542-0700
Organization SubpartNo
Authorized OfficialStephen S BylsmaPresident · (805) 925-2637
Enumeration DateDecember 17, 2009
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
✔ NPI 1710216957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
1245 BROAD ST, San Luis Obispo, CA 93401
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Other Names 1

Doing Business AsShepard Eye Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

B JEFFREY BLUE OD AND JASON CHANG OD INC
Optometrist
1245 BROAD ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-0700
DR. BRYCE JEFFREY BLUE O.D.
Optometrist
1245 BROAD ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-0700
DR. GLENN NICOLAS GRAHAM OD
Optometrist
1245 BROAD ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-0700

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 Elite Eyecare Medical Group A Medical Corporation's NPI number?

The NPI number for Elite Eyecare Medical Group A Medical Corporation is 1710216957. It was assigned to this organization in the NPPES registry on December 17, 2009. The provider is doing business as Shepard Eye Center.

Where is Elite Eyecare Medical Group A Medical Corporation located?

Elite Eyecare Medical Group A Medical Corporation is located at 1245 Broad St, San Luis Obispo, CA 93401. The listed phone number is (805) 542-0700.

What is Elite Eyecare Medical Group A Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Elite Eyecare Medical Group A Medical Corporation was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.