Kenneth A Peterson

  • 1235371782 NPI Number
  • |
  • Actived: 15 years ago
  • |
Kenneth A Peterson is a health care provider based in Pismo Beach, CA. The NPI Number is 1235371782 and it has been active since 15 years ago. The specialty is Eyewear Supplier, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Eyewear Supplier services, Kenneth A Peterson is an excellent option. We are here to help you get the care you need.

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Overview of Kenneth A Peterson

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/30/2009
  • Last updated: 03/30/2009

Primary Scrop of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number: CA 9884T
  • License State: CA

Provider Mailing Address

  • Address: 911 Oak Park Blvd Ste 104
    Pismo Beach, CA 93449
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 911 Oak Park Blvd Ste 104
    Pismo Beach, CA 93449
  • Phone: 805-473-9393
  • Fax:

Authorized Official

  • Name: DR. Kenneth Peterson OD
  • Position/Title: Owner
  • Telephone Number: 805-473-9393

Scope of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number: CA 9884T
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: SD0098840
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth A Peterson?
  • A: The npi number for Kenneth A Peterson is 1235371782.
  • Q: What are Kenneth A Peterson's specialties?
  • A: Kenneth A Peterson's specialties are Eyewear Supplier and different specialities.
  • Q: Where is Kenneth A Peterson business practice location?
  • A: Kenneth A Peterson business practice location is 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449.
  • Q: How to contact Kenneth A Peterson?
  • A: You can contact Kenneth A Peterson via 805-473-9393.
  • Q: What is the authorized official for Kenneth A Peterson?
  • A: The authorized office name is DR. Kenneth Peterson OD with position/title is Owner and you can reach the authorized official via phone number 8054739393.
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