CENTRAL COAST EYE SURGERY, INC., A PROFESSIONAL MEDICAL CORPORATION
NPI 1508380031
Ophthalmology - Retina Specialist in San Luis Obispo, CA
NPI Status: Active since July 26, 2017
Contact Information
941 CALIFORNIA BLVD
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 544-0006
Fax: (877) 843-9745
- Organization
- Ophthalmology
- Retina Specialist
About CENTRAL COAST EYE SURGERY, INC., A PROFESSIONAL MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Central Coast Eye Surgery, Inc., A Professional Medical Corporation, a provider established in San Luis Obispo, California operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1508380031 assigned on July 2017. The practitioner's primary taxonomy code is 207WX0107X with license number G77319 (CA). The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Derek B. Lauritzen M.d. (President)
- NPI
- 1508380031
- Provider Name
- CENTRAL COAST EYE SURGERY, INC., A PROFESSIONAL MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 941 CALIFORNIA BLVD SAN LUIS OBISPO, CA 93401
- Location Phone
- (805) 544-0006
- Location Fax
- (877) 843-9745
- Mailing Address
- 941 CALIFORNIA BLVD SAN LUIS OBISPO, CA 93401
- Mailing Phone
- (805) 544-0006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2017
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Secondary Locations
- 1050 Las Tablas Rd Ste 6
Templeton, CA 93465
(805) 544-0006
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G77319
- License State
- CA
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 3 | 8 | 0 | 0 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 6 | 8 | 0 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 6 + 8 + 0 + 0 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1508380031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841348166 | DR. DEREK BRIAN LAURITZEN M.D. Individual | Ophthalmology (Retina Specialist) | 941 CALIFORNIA BLVD SAN LUIS OBISPO, CA 93401 (805) 434-2350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508380031, enumerated in the NPI registry as an "organization" on July 26, 2017
The provider is located at 941 California Blvd San Luis Obispo, Ca 93401 and the phone number is (805) 544-0006
This medical organization specializes in Ophthalmology with taxonomy code 207WX0107X with a focus in Retina Specialist
This NPI record was last updated on July 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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