Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Coast Eye Surgery, Inc , a Professional Medical Corporation

Organization Retina Specialist (Ophthalmology) Physician · NPI 1508380031

Central Coast Eye Surgery, Inc , a Professional Medical Corporation is a Retina Specialist (Ophthalmology) Physician in San Luis Obispo, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

941 California Blvd
San Luis Obispo, CA 93401
Phone: (805) 544-0006
Fax: (877) 843-9745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Las Tablas Rd Ste 6, Templeton, CA 93465-9792 — (805) 544-0006

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence G77319 (CA)

Record details

NPI number1508380031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Lauritzen — President · (805) 544-0006
NPI enumeratedJuly 26, 2017
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address941 California Blvd, San Luis Obispo, CA 93401-2905

Other providers in San Luis Obispo