Individual provider · Type 1 NPI

Kenneth A. Peterson, OD

Optometrist · Pismo Beach, CA

NPI number 1871565788 Active

Practice location

911 Oak Park Blvd Ste 104
Pismo Beach, CA 93449-3406

Fax (805) 473-1974

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X9884T (CA)

Optometrist: 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 e…

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About NPI 1871565788

Kenneth A. Peterson, OD's National Provider Identifier is 1871565788, issued on Feb 3, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Pismo Beach, CA. The record was last updated on Feb 6, 2008.