| Dr Derek Brian Lauritzen, MD | |
|
941 California Blvd, San Luis Obispo, CA 93401 | |
| (805) 434-2350 | |
| (805) 434-9888 |
| Full Name | Dr Derek Brian Lauritzen |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 33 Years |
| Location | 941 California Blvd, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841348166 | NPI | - | NPPES |
| 7808216 | Other | CA | AETNA PIN |
| 00G773190 | Medicaid | CA | |
| G77319 | Other | CA | BLUE CROSS |
| 00G773190 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G77319 (California) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | G77319 (California) | Primary |
| Entity Name | Central Coast Eye Surgery, Inc., A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508380031 PECOS PAC ID: 9931466604 Enrollment ID: O20171205002113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Brian Lauritzen, MD 941 California Blvd, San Luis Obispo, CA 93401-2905 Ph: (805) 544-0006 | Dr Derek Brian Lauritzen, MD 941 California Blvd, San Luis Obispo, CA 93401 Ph: (805) 434-2350 |
Dr. Michael Borg Limberg, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1270 Peach St, San Luis Obispo, CA 93401 Phone: 805-541-1342 Fax: 805-541-5836 | |
Dr. Abraham W Suhr, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 689 Tank Farm Rd, San Luis Obispo, CA 93401 Phone: 805-781-3937 Fax: 805-781-9013 | |
Larry Baldwin, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 689 Tank Farm Rd, San Luis Obispo, CA 93401 Phone: 805-781-3937 | |
William E Mcree, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Ste B, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Mark D Sherman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 628 California Blvd, Ste D, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Christopher S Hulburd, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Ste B, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. John William Hallisey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1270 Peach St, San Luis Obispo, CA 93401 Phone: 805-541-1342 Fax: 805-541-5836 |