PENINSULA EYECARE MEDICAL ASSOC
NPI 1033131933
Ophthalmology in San Pedro, CA
About Peninsula Eyecare Medical Assoc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA EYECARE MEDICAL ASSOC (NPI 1033131933) is a healthcare organization registered as an ophthalmology in San Pedro, California and active in the NPI registry since July 2006. The organization lists Kenneth Joel Miller, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Eyecare Medical Assoc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Peninsula Eyecare Medical Assoc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peninsula Eyecare Medical Associates's NPI number?
The NPI number for Peninsula Eyecare Medical Associates is 1033131933. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Peninsula Eyecare Medical Assoc. The provider was formerly known as Kenneth J Miller MD INC.
Where is Peninsula Eyecare Medical Associates located?
Peninsula Eyecare Medical Associates is located at 800 S Pacific Ave Ste A, San Pedro, CA 90731. The listed phone number is (310) 547-9991.
What is Peninsula Eyecare Medical Associates's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Peninsula Eyecare Medical Associates enrolled in Medicare?
Yes. Peninsula Eyecare Medical Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Eyecare Medical Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Peninsula Eyecare Medical Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Peninsula Eyecare Medical Associates accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Peninsula Eyecare Medical Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peninsula Eyecare Medical Associates was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peninsula Eyecare Medical Assoc · NPI 1033131933
Ophthalmology organization in San Pedro, California. Organization record, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1033131933 (Entity type: Organization)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Peninsula Eyecare Medical Associates
- **Also known as:** Kenneth J Miller MD INC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Kenneth Miller, PRESIDENT
## Practice location
- **Address:** 800 S PACIFIC AVE STE A, San Pedro, CA 90731-3267
- **Phone:** (310) 547-9991 · **Fax:** (310) 547-2389
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1033131933) · Data from the CMS NPPES public registry.