Central Coast Eye Associates INC
Ophthalmology in San Luis Obispo, CA. Organization (NPI-2).
NPI number1841208758
StatusActive
Last updated in NPPESOct 17, 2007
Details
- NPI
- 1841208758
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Coast Eye Associates INC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Oct 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
628 California BlvdSte C
San Luis Obispo, CA 93401
Phone 805-544-0102 · Fax 805-546-2445
Mailing address
628 California BlvdSte C
San Luis Obispo, CA 93401
Phone 805-544-0102 · Fax 805-546-2445
Authorized official
Glen F Oekler
President
8055440102
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