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Retina Specialists of the Central Coast Inc

Ophthalmology Physician in San Luis Obispo, CA · enumerated 2007 · authorized official Derek Lauritzen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821271248

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Registry record

Entity type Organization (Type 2)
Legal business name Retina Specialists of the Central Coast Inc
Practice address 628 California Blvd, Suite C, San Luis Obispo, CA, 93401
Fax (805) 547-2095
Enumeration date Dec 7, 2007
Last updated in NPPES Nov 18, 2009

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License C3049777 (CA) Primary

Authorized official

Name Derek Lauritzen
Title President

Other identifiers

Identifier Type State Issuer
C3049777 Other CA CA STATE LICENSE
613177600 Other - OWCP
ZZZ50256Y Other CA BLUE SHIELD OF CALIFORNIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Retina Specialists of the Central Coast Inc located?
The practice location on file with NPPES is in San Luis Obispo, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-18.