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

Mrs. Lisa Marie Kruitbosch

Individual provider Optician · NPI 1578918728

Mrs. Lisa Marie Kruitbosch is an Optician in Pismo Beach, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

900 Price St
Pismo Beach, CA 93449-2534
Phone: (805) 773-2324
Fax: (805) 773-2327
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence ABO145453 (CA)

Record details

NPI number1578918728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESApril 25, 2016

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