DUISTERMARS OPTOMETRIC CORPORATION (NPI# 1508054685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508054685 |
| Entity Type | Organization |
| Organization Name | DUISTERMARS OPTOMETRIC CORPORATION |
| Practice Address |
628 California Blvd Ste. C San Luis Obispo CA 93401-2542 |
| Mailing Address |
628 California Blvd Ste C San Luis Obispo CA 93401-2547 |
| Practice Telephone | 8055461988 |
| Mailing Telephone | 8055461988 |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | DR. GREGG DUISTERMARS (PRESIDENT) |
| Authorized Official Telephone | 8055461988 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11247T | CA | Eye and Vision Services Providers |
| Street Address |
628 CALIFORNIA BLVD STE. C |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262751 | Pacific Eye Surgeons, A California Professional Medical Corporation | Ophthalmology | 628 California Blvd, Ste D, San Luis Obispo, CA 93401-2558 | 2005-06-01 |
| 1275958571 | Brian Bolenbaugh | Hearing Instrument Specialist | 628 California Blvd, Suite F, San Luis Obispo, CA 93401-2542 | 2014-02-23 |
| 1841515202 | Randall L Lonsbrough D D S Inc | Dentist | 628 California Blvd, Suite F1, San Luis Obispo, CA 93401-2542 | 2010-03-29 |
| 1821271248 | Retina Specialists of The Central Coast Inc | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2542 | 2007-12-07 |
| 1366595639 | Kimberly D Johnson | Optometrist | 628 California Blvd, Ste D, San Luis Obispo, CA 93401-2542 | 2007-01-19 |
| 1366551558 | Brendan V Mcadams Jr. | Orthopaedic Surgery | 628 California Blvd, Suite D2, San Luis Obispo, CA 93401-2559 | 2006-08-30 |
| 1841208758 | Central Coast Eye Associates Inc | Ophthalmology | 628 California Blvd, Ste C, San Luis Obispo, CA 93401 | 2006-08-04 |
| 1326056235 | Mark D Sherman | Ophthalmology | 628 California Blvd, Ste D, San Luis Obispo, CA 93401 | 2006-08-04 |
| 1679581581 | Steven C Johnson | Ophthalmology | 628 California Blvd, Ste C, San Luis Obispo, CA 93401 | 2006-08-04 |
| 1750397410 | Randall L Lonsbrough | Dentist | 628 California Blvd, Ste F1, San Luis Obispo, CA 93401-2574 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1780874453 | Vanessa Jean Ewing | Optometrist | 3855 Broad St., Suite B, San Luis Obispo, CA 93401-7109 | 2007-07-30 |
| 1942328810 | David A Schultz | Optometrist | 1001 Higuera St, Ste E, San Luis Obispo, CA 93401-3688 | 2007-03-27 |
| 1013034537 | Primary Eyecare Center, An Optometric Practice | Optometrist | 764 Santa Rosa St, San Luis Obispo, CA 93401-2804 | 2007-03-22 |
| 1902937667 | Glenn Sterling Parnes | Optometrist | 695 Santa Rosa St, San Luis Obispo, CA 93401-2801 | 2007-03-07 |
| 1871687640 | Glenn Nicolas Graham | Optometrist | 1245 Broad St, San Luis Obispo, CA 93401 | 2006-10-03 |
| 1457457111 | Charles Paul Hammer | Optometrist | 1157 Marsh St, San Luis Obispo, CA 93401-3323 | 2006-09-16 |
| 1497766380 | Derek L Coombs | Optometrist | 592 California Blvd, San Luis Obispo, CA 93405-1900 | 2006-08-10 |
| 1619948809 | Amanda Michelle Parreira | Optometrist | 894 Meinecke Ave, Suite A, San Luis Obispo, CA 93405-1722 | 2006-01-27 |
| 1508224114 | Limberg Lasik Institute | Optometrist | 1270 Peach St, San Luis Obispo, CA 93401-2856 | 2016-02-10 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.