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PENINSULA EYECARE MEDICAL ASSOC
NPI 1033131933
Ophthalmology in San Pedro, CA

Active since July 23, 2006
800 S PACIFIC AVE STE A, SAN PEDRO, CA 90731(310) 547-9991(310) 547-2389 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Nov 11, 2022 (2 updates tracked since 2022).

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

NPI1033131933
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePENINSULA EYECARE MEDICAL ASSOCIATES
Location Address800 S PACIFIC AVE STE ASan Pedro, CA 90731-3267
Mailing Address800 S Pacific Ave Ste ASan Pedro, CA 90731-3267 · (310) 547-9991 · Fax (310) 547-2389
Phone(310) 547-9991
Fax(310) 547-2389
Organization SubpartNo
Authorized OfficialKenneth Joel MillerPresident · (310) 547-9991
Enumeration DateJuly 23, 2006
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1033131933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
800 S PACIFIC AVE STE A, San Pedro, CA 90731
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Other Names 2

Doing Business AsPeninsula Eyecare Medical Assoc
Former Legal Business NameKenneth J Miller Md Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA POOLE OD
Optometrist
800 S PACIFIC AVE STE A
SAN PEDRO, CA 90731
Los Angeles County (310) 547-9991
GEULA MADANI-BECKER MD
Ophthalmology
800 S PACIFIC AVE STE A
SAN PEDRO, CA 90731
Los Angeles County (310) 547-9991

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.

What insurance does Peninsula Eyecare Medical Associates accept?

Health plans from 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.