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

Retina Specialists of the Central Coast Inc

Organization Ophthalmology Physician · NPI 1821271248

Retina Specialists of the Central Coast Inc is an Ophthalmology Physician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

628 California Blvd Ste C
San Luis Obispo, CA 93401-2542
Phone: (805) 547-2090
Fax: (805) 547-2095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence C3049777 (CA)

Record details

NPI number1821271248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Lauritzen — President · (805) 547-2090
NPI enumeratedDecember 7, 2007
Last updated in NPPESNovember 18, 2009
Mailing address628 California Blvd, Suite C, San Luis Obispo, CA 93401-2542

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