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DR. KEN PETERSON FAMILY OPTOMETRY
NPI 1497133011
Optometrist in Pismo Beach, CA

Active since May 14, 2015
911 OAK PARK BLVD, SUITE 104, PISMO BEACH, CA 93449(805) 473-9393(805) 473-1974 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ken Peterson Family Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEN PETERSON FAMILY OPTOMETRY (NPI 1497133011) is a healthcare organization registered as an optometrist in Pismo Beach, California and active in the NPI registry since May 2015. The organization lists Kenneth A Peterson, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1497133011
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKEN P OPTOMETRY CORP
Location Address911 OAK PARK BLVD, SUITE 104Pismo Beach, CA 93449-3405
Mailing Address911 Oak Park Blvd, Suite 104Pismo Beach, CA 93449-3405 · (805) 473-9393 · Fax (805) 473-1974
Phone(805) 473-9393
Fax(805) 473-1974
Organization SubpartNo
Authorized OfficialKenneth A PetersonOwner/optometrist · (805) 473-9393
Enumeration DateMay 14, 2015
✔ NPI 1497133011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
911 OAK PARK BLVD, Pismo Beach, CA 93449
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Other Names 1

Doing Business AsDr. Ken Peterson Family Optometry

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 6

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

DR. AMY E. WEBB M.D.
Pediatrics
911 OAK PARK BLVD, SUITE 107
PISMO BEACH, CA 93449
San Luis Obispo County (805) 474-8700
DR. BRIAN DAVID O'CARROLL DPM
Podiatrist (Foot & Ankle Surgery)
911 OAK PARK BLVD, STE 106
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-9100
BRIAN O'CARROLL, D.P.M., INC.
Podiatrist (Foot & Ankle Surgery)
911 OAK PARK BLVD, STE 106
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-9100
HEALTH QUEST PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
911 OAK PARK BLVD, #101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 489-0888
MODEL DRUG INC
Pharmacy (Long Term Care Pharmacy)
911 OAK PARK BLVD, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-5111
CENTRAL COAST CARDIOTHORACIC SURGICAL ASSOCIATES-A MEDICAL GROUP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
911 OAK PARK BLVD, STE 102
PISMO BEACH, CA 93449
San Luis Obispo County (805) 556-6001

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 Ken P Optometry Corp's NPI number?

The NPI number for Ken P Optometry Corp is 1497133011. It was assigned to this organization in the NPPES registry on May 14, 2015. The provider is doing business as Dr. Ken Peterson Family Optometry.

Where is Ken P Optometry Corp located?

Ken P Optometry Corp is located at 911 Oak Park Blvd Suite 104, Pismo Beach, CA 93449. The listed phone number is (805) 473-9393.

What is Ken P Optometry Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Ken P Optometry Corp accept?

Health plans from BlueCross BlueShield of Tennessee list Ken P Optometry Corp 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 Ken P Optometry Corp was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.