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HERITAGE EYE ASSOCIATES
NPI 1962413740
Specialist in Stockton, CA

Active since August 10, 2006
445 W POPLAR ST, STOCKTON, CA 95203(209) 465-5933(209) 465-2562 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Eye Associates NPPES

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

HERITAGE EYE ASSOCIATES (NPI 1962413740) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since August 2006. The organization lists Kenneth Victor Miselis, President, as its authorized official.

NPPES Registry Identity

NPI1962413740
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENNETH V. MISELIS, M.D. INC.
Location Address445 W POPLAR STStockton, CA 95203-2426
Mailing Address445 W Poplar StStockton, CA 95203-2426 · (209) 465-5933 · Fax (209) 465-2562
Phone(209) 465-5933
Fax(209) 465-2562
Organization SubpartNo
Authorized OfficialKenneth Victor MiselisPresident · (209) 465-5933
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1962413740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G502810
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
445 W POPLAR ST, Stockton, CA 95203
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Other Names 1

Doing Business AsHeritage Eye Associates

Other Identifiers 2

MedicaidGR0050600CA
Other180033368CA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Heritage Eye Associates carries, from the Medicare DMEPOS supplier directory.

Heritage Eye Associates

DMEPOS supplier · Stockton, CAOperated by Kenneth V Miselis M D Inc
✔

Accepts Medicare assignment

Heritage Eye Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20673119
Medicare Participant SinceJune 1, 1991
Supplier Location445 W Poplar StStockton, CA 95203
Phone(209) 465-5933
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

SHELLEY M RICHARDS O.D.
Optometrist
445 W POPLAR ST
STOCKTON, CA 95203
San Joaquin County (209) 465-5933
JAPJEET GILL O.D.
Optometrist
445 W POPLAR ST, ATTN: JANA
STOCKTON, CA 95203
San Joaquin County (209) 465-5933
DR. KENNETH VICTOR MISELIS M.D.
Specialist
445 W POPLAR ST
STOCKTON, CA 95203
San Joaquin County (209) 465-5933

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 V. Miselis, M.D. Inc.'s NPI number?

The NPI number for Kenneth V. Miselis, M.D. Inc. is 1962413740. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Heritage Eye Associates.

Where is Kenneth V. Miselis, M.D. Inc. located?

Kenneth V. Miselis, M.D. Inc. is located at 445 W Poplar St, Stockton, CA 95203. The listed phone number is (209) 465-5933.

What is Kenneth V. Miselis, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Kenneth V. Miselis, M.D. Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Heritage Eye Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kenneth V. Miselis, M.D. Inc. was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.