KENNETH A PETERSON
NPI 1235371782
Eyewear Supplier in Pismo Beach, CA
About Kenneth A Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH A PETERSON (NPI 1235371782) is a healthcare organization registered as an eyewear supplier in Pismo Beach, California and active in the NPI registry since March 2009. The organization lists Kenneth Peterson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth A Peterson's NPI number?
The NPI number for Kenneth A Peterson is 1235371782. It was assigned to this organization in the NPPES registry on March 30, 2009.
Where is Kenneth A Peterson located?
Kenneth A Peterson is located at 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449. The listed phone number is (805) 473-9393.
What is Kenneth A Peterson's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
When was this NPI record last updated?
The NPPES record for Kenneth A Peterson was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
