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

Vanessa Jean Ewing, OD

Individual provider Optometrist · NPI 1780874453

Vanessa Jean Ewing, OD is an Optometry in San Luis Obispo, California. Qualified in 2007, 19 years ago. Practices with Intermountain Eye and Laser Centers PLLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
19
Licensed in
CA, IN
In the registry since
2007
Specialties on file
2
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 93401-7109
Phone: (805) 545-8100
Fax: (805) 548-8785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1935 Bluegrass Ave, Louisville, KY 40215-1179 — (502) 895-0040

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT33920TLG (CA)
Optometrist Taxonomy 152W00000X · Licence 18003453A (IN)

Record details

NPI number1780874453
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Intermountain Eye And Laser Centers Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Luis Obispo