| Limberg Eye Surgery A Medical Corporation | |
|
1270 Peach St, Suite 100, San Luis Obispo, CA 93401-2856 | |
| (805) 541-1342 | |
| (805) 541-5836 |
| Full Name | Limberg Eye Surgery A Medical Corporation |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1270 Peach St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952459265 | NPI | - | NPPES |
| GR0076602 | Medicaid | CA | |
| GR0076600 | Medicaid | CA | |
| GR0076604 | Medicaid | CA | |
| GR0076605 | Medicaid | CA | |
| GR0076601 | Medicaid | CA | |
| GR0076603 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | John William Hallisey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467500686 PECOS PAC ID: 5193775989 Enrollment ID: I20050128000889 |
| Provider Name | John B Cotter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124021746 PECOS PAC ID: 2668570656 Enrollment ID: I20070614000743 |
| Provider Name | Ragui W Sedeek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306993571 PECOS PAC ID: 9234297235 Enrollment ID: I20081020000638 |
| Provider Name | Michael B Limberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063569655 PECOS PAC ID: 9931196011 Enrollment ID: I20090610000096 |
| Provider Name | Thomas Frederic Rippner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578613451 PECOS PAC ID: 4587830575 Enrollment ID: I20111221000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Limberg Eye Surgery A Medical Corporation 1270 Peach St, Suite 100, San Luis Obispo, CA 93401-2856 Ph: (805) 541-1342 | Limberg Eye Surgery A Medical Corporation 1270 Peach St, Suite 100, San Luis Obispo, CA 93401-2856 Ph: (805) 541-1342 |