Kenneth a Peterson
Kenneth a Peterson is an Eyewear Supplier in Pismo Beach, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
911 Oak Park Blvd Ste 104Pismo Beach, CA 93449-3406
Phone: (805) 473-9393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence CA 9884T (CA) |
|---|
Record details
| NPI number | 1235371782 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Peterson — Owner · (805) 473-9393 |
| NPI enumerated | March 30, 2009 |
| Last updated in NPPES | March 30, 2009 |
| Mailing address | 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406 |
Other providers in Pismo Beach
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Pacific Eye Surgeons, a California Professional Medical Corporation
931 Oak Park Blvd Ste 201, Pismo Beach, CA 93449-3404 · (805) 437-6640