Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ken P Optometry Corp

Organization Optometrist · NPI 1497133011

Ken P Optometry Corp is an Optometrist in Pismo Beach, California. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

911 Oak Park Blvd Ste 104
Pismo Beach, CA 93449-3405
Phone: (805) 473-9393
Fax: (805) 473-1974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1497133011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Peterson — Owner/Optometrist · (805) 473-9393
Other names Dr. Ken Peterson Family Optometry
NPI enumeratedMay 14, 2015
Last updated in NPPESMay 14, 2015
Mailing address911 Oak Park Blvd, Suite 104, Pismo Beach, CA 93449-3405

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