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Organization

CENTRAL COAST EYE, INC., A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Central Coast Eye
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN C JOHNSON M.D. (PRESIDENT)
(805) 547-2090
Entity
Organization

Contact information

Practice address
628 CALIFORNIA BLVD STE C, SAN LUIS OBISPO, CA 93401-2547
(805) 547-2090
Mailing address
628 CALIFORNIA BLVD STE C, SAN LUIS OBISPO, CA 93401-2547
(805) 547-2090

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A38558
CA

Other

Enumeration date
07/24/2017
Last updated
07/21/2022
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