DR. KENNETH PETERSON, OD

Optometrist

Active Individual
NPI: 1871565788

Practice Address

911 OAK PARK BLVD STE 104
Pismo Beach, CA 93449

Phone: (805) 473-9393

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 9884T (CA)

Frequently Asked Questions

NPI 1871565788 is the National Provider Identifier for DR. KENNETH PETERSON, OD, a Optometrist provider located in Pismo Beach, CA. This NPI was enumerated on February 3, 2006.
DR. KENNETH PETERSON, OD practices at 911 OAK PARK BLVD STE 104, Pismo Beach, CA 93449.

Quick Facts

NPI
1871565788
Type
Individual
Enumerated
Feb 3, 2006
Last Updated
Feb 6, 2008

Nearby Providers