# CENTRAL COAST EYE ASSOCIATES INC

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

## Provider details

- **NPI number:** 1841208758
- **Authorized official:** GLEN F OEKLER MD (PRESIDENT)
- **Authorized official phone:** (805) 544-0102

## Contact information

- **Practice address:** 628 CALIFORNIA BLVD, STE C, SAN LUIS OBISPO, CA 93401
- **Practice address phone:** (805) 544-0102
- **Practice address fax:** (805) 546-2445
- **Mailing address:** 628 CALIFORNIA BLVD, STE C, SAN LUIS OBISPO, CA 93401
- **Mailing address phone:** (805) 544-0102
- **Mailing address fax:** (805) 546-2445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 10/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0026760 | — | CA |
| 05 | — | GR0026761 | — | CA |