DR. DEREK L COOMBS (NPI# 1497766380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497766380 |
| Entity Type | Individual |
| Full Name | DR. DEREK L COOMBS |
| Credential | O.D. |
| Practice Address |
592 California Blvd San Luis Obispo CA 93405-1900 |
| Mailing Address |
1653 16th St Los Osos CA 93402-1820 |
| Practice Telephone | 8055434777 |
| Practice Fax Number | 8055434886 |
| Mailing Telephone | 8055286243 |
| Mailing Fax Number | 8055434886 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 7166 TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0071660 | 05 |
| Street Address |
592 CALIFORNIA BLVD |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1780874453 | Vanessa Jean Ewing | Optometrist | 3855 Broad St., Suite B, San Luis Obispo, CA 93401-7109 | 2007-07-30 |
| 1942328810 | David A Schultz | Optometrist | 1001 Higuera St, Ste E, San Luis Obispo, CA 93401-3688 | 2007-03-27 |
| 1013034537 | Primary Eyecare Center, An Optometric Practice | Optometrist | 764 Santa Rosa St, San Luis Obispo, CA 93401-2804 | 2007-03-22 |
| 1902937667 | Glenn Sterling Parnes | Optometrist | 695 Santa Rosa St, San Luis Obispo, CA 93401-2801 | 2007-03-07 |
| 1871687640 | Glenn Nicolas Graham | Optometrist | 1245 Broad St, San Luis Obispo, CA 93401 | 2006-10-03 |
| 1457457111 | Charles Paul Hammer | Optometrist | 1157 Marsh St, San Luis Obispo, CA 93401-3323 | 2006-09-16 |
| 1619948809 | Amanda Michelle Parreira | Optometrist | 894 Meinecke Ave, Suite A, San Luis Obispo, CA 93405-1722 | 2006-01-27 |
| 1508224114 | Limberg Lasik Institute | Optometrist | 1270 Peach St, San Luis Obispo, CA 93401-2856 | 2016-02-10 |
| 1457648248 | Susanne Wilch Anderson | Optometrist | 1264 Higuera St, Suite 101, San Luis Obispo, CA 93401-3124 | 2011-06-30 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.