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 |
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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 |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467500686 PECOS PAC ID: 5193775989 Enrollment ID: I20050128000889 |
Provider Name | John B Cotter |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124021746 PECOS PAC ID: 2668570656 Enrollment ID: I20070614000743 |
Provider Name | Ragui W Sedeek |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306993571 PECOS PAC ID: 9234297235 Enrollment ID: I20081020000638 |
Provider Name | Michael B Limberg |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063569655 PECOS PAC ID: 9931196011 Enrollment ID: I20090610000096 |
Provider Name | Thomas Frederic Rippner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578613451 PECOS PAC ID: 4587830575 Enrollment ID: I20111221000504 |
Provider Name | Suzanne Michelle Laird-attum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558999540 PECOS PAC ID: 9537558804 Enrollment ID: I20211109000725 |
Mailing Address | Practice Location Address |
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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 |