Primary Eyecare Center

LBN: Primary Eyecare Center, An Optometric Practice
Primary Eyecare Center is an health care organization with primary practice located at 764 Santa Rosa St , San Luis Obispo CA 93401-2804. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Primary Eyecare Center, An Optometric Practice can be contacted via phone (805) 543-1447, or through Hider, Steven Sage via phone (805) 466-3777.

Contact Information

Primary practice address
764 Santa Rosa St San Luis Obispo CA 93401-2804
Fax: (805) 543-4778
Website:
Authorized official contact:
Name: Hider, Steven Sage Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X California

Profile Details

NPI number 1013034537
LBN Legal business name Primary Eyecare Center, An Optometric Practice
DBA Doing business as Primary Eyecare Center
Authorized official Hider, Steven Sage Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated May 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013034537 NPPES
California MEDICAID GSD000531
California Other CD9792

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