Healthcare Provider Details

I. General information

NPI: 1104751486
Provider Name (Legal Business Name): CAMRYN FINKENBEINER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 BAYVIEW HEIGHTS DR
LOS OSOS CA
93402-3900
US

IV. Provider business mailing address

117 SEAVIEW AVE UNIT B
PISMO BEACH CA
93449-2041
US

V. Phone/Fax

Practice location:
  • Phone: 805-528-5333
  • Fax:
Mailing address:
  • Phone: 805-528-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: