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

Terry Agin, RDO

Individual provider Optician · NPI 1669689600

Terry Agin, RDO is an Optician in Pismo Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

889 Oak Park Blvd
Pismo Beach, CA 93449-3293
Phone: (805) 481-9797
Fax: (805) 481-1429
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence SL1015 (CA)

Record details

NPI number1669689600
Entity typeIndividual (Type 1)
GenderMale
Credentials RDO
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address889 Oak Park Blvd, Pismo Beach, CA 93449-3293

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