SHEPARD EYE CENTER – NPI #1710216957
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Health Care Provider Taxonomy Code for Ophthalmology

SHEPARD EYE CENTER is an ophthalmologist located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1710216957 to SHEPARD EYE CENTER on December 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHEPARD EYE CENTER” is a dba name, the actual legal business name for this organization is ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 8 years ago on Oct 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHEPARD EYE CENTER below.

NPI Profile for
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

NPI Number
1710216957
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Doing Business As (dba): SHEPARD EYE CENTER
Primary location
1245 BROAD ST
SAN LUIS OBISPO, CA 93401
Phone: (805) 542-0700 Fax:
Mailing address
910 E STOWELL RD
SANTA MARIA, CA 93454-7001
Phone: (805) 925-2637 Fax: (805) 347-0033
Organization Subpart
No
Authorized Official
STEPHEN BYLSMA
PRESIDENT
Phone: (805) 925-2637
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.