Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH A PETERSON, OD
Active Sole ProprietorDR. KENNETH A PETERSON, OD is a Optometrist healthcare provider located in PISMO BEACH, California. NPI 1871565788 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PISMO BEACH, CA
Registration Details
- NPI Number
- 1871565788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2006 (20.344242522185 yrs)
- Last Updated
- Feb 6, 2008
- License
-
9884T (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
911 OAK PARK BLVD STE 104PISMO BEACH, CA, 934493406Browse CA providers · Browse ZIP 93449
- Phone
- 8054739393
- Fax
- 8054731974
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PISMO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| SCOTT ERIC SCHACHTER | O.D. | 1447230602 |
| MICHAEL E. JACOBS | O.D. | 1821101684 |
| DR. MONA KAUR GILL | O.D. | 1477856003 |
| DR. DENNIS RAOUL RICHARDSON | O.D. | 1588931398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.