# SAN LUIS OBISPO EYE ASSOCIATES, A MEDICAL GROUP INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548311061
- **Authorized official:** MS. CHRISTINA LYKENS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (805) 781-3937

## Contact information

- **Practice address:** 689 TANK FARM RD, SUITE 100, SAN LUIS OBISPO, CA 93401
- **Practice address phone:** (805) 781-3937
- **Practice address fax:** (805) 781-9013
- **Mailing address:** 689 TANK FARM RD STE 100, SAN LUIS OBISPO, CA 93401-7078
- **Mailing address phone:** (805) 781-3937
- **Mailing address fax:** (805) 781-9013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | CA | — |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | — |
| 332H00000X | Eyewear Supplier | — | CA | — |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 07/17/2026