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ABROMS DOUGHERTY VISION ASC LLC
NPI 1790384303
Clinic/Center - Ambulatory Surgical in San Luis Obispo, CA

Active since October 23, 2020CLIA 05D2202964 · Waiver
4472 BROAD ST STE 150, SAN LUIS OBISPO, CA 93401(805) 548-1051 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Feb 5, 2026, Jan 28, 2026 and 2 more (5 updates tracked since 2020).

About Abroms Dougherty Vision Asc Llc NPPES

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

ABROMS DOUGHERTY VISION ASC LLC (NPI 1790384303) is a healthcare organization registered as an ambulatory surgical in San Luis Obispo, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Clifton Bazhaw, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1790384303
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameABROMS DOUGHERTY VISION ASC LLC
Location Address4472 BROAD ST STE 150San Luis Obispo, CA 93401-7990
Mailing Address4472 Broad St Ste 150San Luis Obispo, CA 93401-7990 · (805) 548-1051
Phone(805) 548-1051
Organization SubpartNo
Authorized OfficialClifton BazhawChief Revenue Officer · (214) 893-0471
Enumeration DateOctober 23, 2020
Last NPPES UpdateMay 12, 20265 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1790384303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4472 BROAD ST STE 150, San Luis Obispo, CA 93401
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2202964

Abroms Dougherty Vision ASC LLC · San Luis Obispo, CA
Active · expires Dec 1, 2026
CLIA Number05D2202964
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorAdamd D. Abroms
Laboratory Phone(805) 545-8100
Laboratory LocationAbroms Dougherty Vision ASC LLC4472 Broad St # 150, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
358 services218 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
322 services208 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
82 services60 patients
Dilation of fluid outflow drainage within eye 66174
Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
39 services22 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
35 services22 patients
Incision of cornea to correct astigmatism 65772
This procedure, known as astigmatic keratotomy, involves making small incisions in the cornea to reshape it and correct astigmatism. It helps improve vision by reducing the need for glasses or contact lenses. It's a quick, outpatient procedure with minimal discomfort.
33 services24 patients

Other Providers at the Same Location NPPES 2

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

VALHALLA SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 364-8450
PACIFIC SURGERY CENTER OF SAN LUIS OBISPO, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (818) 348-7246

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 Abroms Dougherty Vision ASC LLC's NPI number?

The NPI number for Abroms Dougherty Vision ASC LLC is 1790384303. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Abroms Dougherty Vision ASC LLC located?

Abroms Dougherty Vision ASC LLC is located at 4472 Broad St Ste 150, San Luis Obispo, CA 93401. The listed phone number is (805) 548-1051.

What is Abroms Dougherty Vision ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Abroms Dougherty Vision ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2202964) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abroms Dougherty Vision ASC LLC was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.