Provider Demographics
NPI:1477007235
Name:CENTRAL COAST VISION AND LEARNING
Entity Type:Organization
Organization Name:CENTRAL COAST VISION AND LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, COVT
Authorized Official - Phone:805-239-7488
Mailing Address - Street 1:1050 LAS TABLAS RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-9729
Mailing Address - Country:US
Mailing Address - Phone:805-239-7488
Mailing Address - Fax:805-738-3130
Practice Address - Street 1:1050 LAS TABLAS RD
Practice Address - Street 2:SUITE 4
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9729
Practice Address - Country:US
Practice Address - Phone:805-239-7488
Practice Address - Fax:805-738-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty