Central Coast Eye Surgery, Inc., a Professional Medical Corporation
NPI #1508380031 in San Luis Obispo, California
Provider Information
- NPI Number
- 1508380031
- Entity Type
- Organization
- Organization Name
- Central Coast Eye Surgery, Inc., a Professional Medical Corporation
- Primary Specialty
- Ophthalmology - Retina Specialist
- Enumeration Date
- Jul 26, 2017
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 941 CALIFORNIA BLVD
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401
- Phone
- (805) 544-0006
Authorized Official
- Name
- DEREK B. LAURITZEN, M.D.
- Title
- PRESIDENT
- Phone
- (805) 544-0006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology - Retina Specialist — Retina Specialist |
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