Central Coast Eye Surgery, Inc., a Professional Medical Corporation
NPI 1508380031 · Retina Specialist (Ophthalmology) Physician · San Luis Obispo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Coast Eye Surgery, Inc., a Professional Medical Corporation is a Retina Specialist (Ophthalmology) Physician organization in San Luis Obispo, CA (NPI 1508380031).
Provider details
- NPI number
- 1508380031
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Lauritzen, President(805) 544-0006
- License
- G77319 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1050 Las Tablas Rd Ste 6Templeton, CA 93465-9792Phone: (805) 544-0006Fax: (877) 843-9745
Registry dates
- Enumerated
- 2017-07-26
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Frequently asked questions
- What is Central Coast Eye Surgery, Inc., a Professional Medical Corporation's NPI number?
- Central Coast Eye Surgery, Inc., a Professional Medical Corporation's National Provider Identifier (NPI) is 1508380031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Coast Eye Surgery, Inc., a Professional Medical Corporation?
- Central Coast Eye Surgery, Inc., a Professional Medical Corporation is classified in the NPPES registry as Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Central Coast Eye Surgery, Inc., a Professional Medical Corporation located?
- Central Coast Eye Surgery, Inc., a Professional Medical Corporation's practice location on file with NPPES is 941 California Blvd, San Luis Obispo, CA 93401.
- What is Central Coast Eye Surgery, Inc., a Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Central Coast Eye Surgery, Inc., a Professional Medical Corporation is (805) 544-0006.
- Does Central Coast Eye Surgery, Inc., a Professional Medical Corporation accept Medicare?
- Central Coast Eye Surgery, Inc., a Professional Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Coast Eye Surgery, Inc., a Professional Medical Corporation?
- The authorized official listed on Central Coast Eye Surgery, Inc., a Professional Medical Corporation's NPPES record is Derek Lauritzen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Coast Eye Surgery, Inc., a Professional Medical Corporation's NPI active?
- Yes — Central Coast Eye Surgery, Inc., a Professional Medical Corporation's NPI (1508380031) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.