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 Suite 100, San Luis Obispo CA 93401. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). 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 Mele, Michelle via phone (805) 781-3937.

Contact Information

Primary practice address
689 Tank Farm Rd Suite 100 San Luis Obispo CA 93401
Phone: (805) 781-3937
Fax: (805) 781-9013
Website:
Map and Directions
Authorized official contact:
Name: Mele, Michelle
Phone: (805) 781-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X California
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X California

Profile Details

NPI number 1548311061
LBN Legal business name San Luis Obispo Eye Associates, A Medical Group Inc.
DBA Doing business as
Authorized official Mele, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 21st, 2022 - about 3 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 1548311061 NPPES
California MEDICAID GR0068240

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