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

Dr. Robert B Dirksen, OD

Individual provider Optometrist · NPI 1174669899

Dr. Robert B Dirksen, OD is an Optometry in San Luis Obispo, California. Qualified in 2002, 24 years ago. Practices with Pacific Eye Surgeons a California Professional Medical Corporation, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3855 Broad St Ste B
San Luis Obispo, CA 93401
Phone: (805) 545-7881
Fax: (805) 548-8785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 12172 (CA)

Record details

NPI number1174669899
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMay 5, 2017

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Pacific Eye Surgeons A California Professional Medical Corporation — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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