Central Coast Eye Surgery Inc a Professional Medical Corporation
Central Coast Eye Surgery Inc a Professional Medical Corporation provides Retina Specialist (Ophthalmology) Physician services in San Luis Obispo, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
941 California BlvdSan Luis Obispo, CA 93401
Phone: (805) 544-0006
Fax: (877) 843-9745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1050 Las Tablas Rd Ste 6, Templeton, CA 93465-9792 — (805) 544-0006
Specialties & licences
| Retina Specialist (Ophthalmology) Physician (primary) | Taxonomy 207WX0107X · Licence G77319 (CA) |
|---|
Record details
| NPI number | 1508380031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derek Lauritzen — Owner · (805) 544-0006 |
| NPI enumerated | July 26, 2017 |
| Last updated in NPPES | October 2, 2026 |
| Certification date | October 2, 2026 |
| Mailing address | 941 California Blvd, San Luis Obispo, CA 93401-2905 |
Other providers in San Luis Obispo
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Central Coast Eye, Inc , a Professional Medical Corporation
628 California Blvd Ste C, San Luis Obispo, CA 93401-2547 · (805) 547-2090