Sharon M Theodore (NPI# 1831145739, PAC ID# 3476598889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1831145739 |
| PAC ID by PECOS | 3476598889 |
| Professional Enrollment ID | I20050627000544 |
| Full Name | Sharon M Theodore |
| Organization Legal Name | SAN LUIS OBISPO EYE ASSOCIATES A MEDICAL GROUP INCORPORATED |
| Address |
689 Tank Farm Rd Suite 100 San Luis Obispo CA 93401-7078 |
| Phone Number | 8057813937 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3173567518 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 | 8057813937 | SAN LUIS OBISPO EYE ASSOCIATES A MEDICAL GROUP INCORPORATED |
| 234 Heather Ct, Suite 102, Templeton, CA 93465-8765 | 8054345970 | SAN LUIS OBISPO EYE ASSOCIATES A MEDICAL GROUP INCORPORATED |
| Organization Legal Name | SAN LUIS OBISPO EYE ASSOCIATES A MEDICAL GROUP INCORPORATED |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Gealy | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Larry Bryan Baldwin | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Frank Mark Basich | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Rena Artemis Stathacopoulos | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Joseph Roy Horne | Optometry | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Street Address |
689 TANK FARM RD SUITE 100 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-7078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Gealy | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Mary Barbara Romero | Internal Medicine | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Larry Bryan Baldwin | Ophthalmology | San Luis Obispo Eye Associates A Medical Group Incorporated | 689 Tank Farm Rd, Suite 100, San Luis Obispo, CA 93401-7078 |
| Jason Green | Internal Medicine | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Margaret B Greenough | Family Medicine | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Jessica L Johnson | Physician Assistant | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Ann Mcneil | Nurse Practitioner | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Julietta Hona Chang | General Surgery | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Cu Nguyen | Internal Medicine | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Armando F Siqueiros | Internal Medicine | Pacific Central Coast Health Centers | 689 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7079 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SAN LUIS OBISPO + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Sharon M Theodore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.