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

Individual provider Ophthalmology Physician · NPI 1841348166

Dr. Derek Brian Lauritzen, MD is an Ophthalmology in San Luis Obispo, California. Graduated from Tufts University School of Medicine in 1992, 34 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

941 California Blvd
San Luis Obispo, CA 93401
Phone: (805) 434-2350
Fax: (805) 434-9888
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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) 434-2350

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence G77319 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence G77319 (CA)

Record details

NPI number1841348166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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