Central Coast Eye Associates Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL COAST EYE ASSOCIATES INC

Practice address

628 California Blvd
Ste C
San Luis Obispo, CA 93401

Phone

(805) 544-0102

Fax

(805) 546-2445

NPI assigned

Aug 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glen F Oekler, MD

Title

President

Phone

(805) 544-0102

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1841208758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD",
            "address_2": "STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-544-0102",
            "fax_number": "805-546-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD",
            "address_2": "STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-544-0102",
            "fax_number": "805-546-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "OEKLER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-544-0102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026760",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Cembellin
• Centerwell Certified Healthcare Corp.
• Central Coast Chest Consultants a Medical Corporation
• Central Coast Ear Nose and Throat Associates
• Central Coast Employee Assistance & Counseling Services
• Central Coast Eye Surgery, Inc., a Professional Medical Corporation
• Central Coast Eye, Inc., a Professional Medical Corporation
• Central Coast Home Health Inc
• Central Coast Home Health Inc
• Central Coast Home Health, Inc.

• Ophthalmology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.