Kenneth A Peterson is a Eyewear Supplier (equipment, Not The Service) Store in Pismo Beach, California. It is situated at 911 Oak Park Blvd Ste 104, Pismo Beach and its contact number is 805-473-9393. The authorized person of Kenneth A Peterson is Dr. Kenneth Peterson
who is Owner of the store and their contact number is 805-473-9393. Primary license number for Kenneth A Peterson is CA 9884T in California. Kenneth A Peterson is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Kenneth A Peterson Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Eyewear Supplier (equipment, Not The Service)
Address:
911 Oak Park Blvd Ste 104, Pismo Beach, California, 93449-3406
Phone:
805-473-9393
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kenneth Peterson
Position:
Owner
Contact Number:
805-473-9393
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kenneth A Peterson center are as mentioned below.
NPI Number:
1235371782
NPI Enumeration Date:
30 Mar, 2009
NPI Last Update On:
30 Mar, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth A Peterson are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
CA 9884T
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
OP9884
Other
California
Medicare Id
SD0098840
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kenneth A Peterson 911 Oak Park Blvd Ste 104, Pismo Beach, California
Zip:
93449-3406
Phone Number:
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Patients can reach Kenneth A Peterson at 911 Oak Park Blvd Ste 104, Pismo Beach, California or can call to book an appointment on 805-473-9393. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.