SHEPARD EYE CENTER
NPI 1710216957
Ophthalmology in San Luis Obispo, CA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shepard Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Shepard Eye Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Elite Eyecare Medical Group A Medical Corporation enrolled in Medicare?
Yes. Elite Eyecare Medical Group A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Eyecare Medical Group A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Elite Eyecare Medical Group A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (12) and Ophthalmology (8). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 8 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.
# Shepard Eye Center · NPI 1710216957
Ophthalmology organization in San Luis Obispo, California. Organization record, active in the CMS NPPES registry since December 17, 2009.
## Identity
- **NPI:** 1710216957 (Entity type: Organization)
- **Enumerated:** December 17, 2009
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Elite Eyecare Medical Group A Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Stephen Bylsma, PRESIDENT
## Practice location
- **Address:** 1245 BROAD ST, San Luis Obispo, CA 93401
- **Phone:** (805) 542-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (12), Ophthalmology (8); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1710216957) · Data from the CMS NPPES public registry.