San Luis Obispo Eye Associates, A Medical Group Inc.

LBN: San Luis Obispo Eye Associates, A Medical Group Inc.
San Luis Obispo Eye Associates, A Medical Group Inc. is an health care organization with primary practice located at 689 Tank Farm Rd , San Luis Obispo CA 93401-7077. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. San Luis Obispo Eye Associates, A Medical Group Inc. can be contacted via phone (805) 781-3937, or through Lykens, Christina via phone (805) 781-3937.

Contact Information

Primary practice address
689 Tank Farm Rd San Luis Obispo CA 93401-7077
Phone: (805) 781-3937
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lykens, Christina COE
Phone: (805) 781-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1144400201
LBN Legal business name San Luis Obispo Eye Associates, A Medical Group Inc.
DBA Doing business as
Authorized official Lykens, Christina COE
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated Oct 21st, 2022 - about 2 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 1144400201 NPPES
California MEDICAID GR0068240
California Other 1159330001

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