RETINA SPECIALISTS OF THE CENTRAL COAST INC
NPI 1821271248
Ophthalmology in San Luis Obispo, CA

Active since December 07, 2007
628 CALIFORNIA BLVD, SUITE C, SAN LUIS OBISPO, CA 93401(805) 547-2090(805) 547-2095 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Specialists Of The Central Coast Inc NPPES

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

RETINA SPECIALISTS OF THE CENTRAL COAST INC (NPI 1821271248) is a healthcare organization registered as an ophthalmology in San Luis Obispo, California and active in the NPI registry since December 2007. The organization lists Derek B. Lauritzen, President, as its authorized official.

NPPES Registry Identity

NPI1821271248
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA SPECIALISTS OF THE CENTRAL COAST INC
Location Address628 CALIFORNIA BLVD, SUITE CSan Luis Obispo, CA 93401-2542
Mailing Address628 California Blvd, Suite CSan Luis Obispo, CA 93401-2542 · (805) 547-2090 · Fax (805) 547-2095
Fax(805) 547-2095
Organization SubpartNo
Authorized OfficialDerek B. LauritzenPresident · (805) 547-2090
Enumeration DateDecember 7, 2007
Last NPPES UpdateNovember 18, 2009
NPI 1821271248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · C3049777
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.
628 CALIFORNIA BLVD, San Luis Obispo, CA 93401

Other Identifiers 5

OtherC3049777CA · Ca State License
OtherZZZ50256YCA · Blue Shield Of California
Other613177600Owcp
Medicare PINW21609
Medicare PINDG9149

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.

Hearing Instrument Specialist
628 CALIFORNIA BLVD, SUITE F
SAN LUIS OBISPO, CA 93401
Ophthalmology
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
Optometrist
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
Optometrist
628 CALIFORNIA BLVD, STE. C
SAN LUIS OBISPO, CA 93401
Psychiatry & Neurology (Neurology)
628 CALIFORNIA BLVD, SUITE A-3
SAN LUIS OBISPO, CA 93401
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
Dentist (Prosthodontics)
628 CALIFORNIA BLVD, STE F1
SAN LUIS OBISPO, CA 93401
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401

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 Retina Specialists Of The Central Coast Inc's NPI number?

The NPI number for Retina Specialists Of The Central Coast Inc is 1821271248. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Retina Specialists Of The Central Coast Inc located?

Retina Specialists Of The Central Coast Inc is located at 628 California Blvd Suite C, San Luis Obispo, CA 93401. The listed phone number is (805) 547-2090.

What is Retina Specialists Of The Central Coast Inc'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 Retina Specialists Of The Central Coast Inc was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.