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

Kenneth V Miselis, MD Inc

Organization Specialist · NPI 1962413740

Kenneth V Miselis, MD Inc is a Specialist in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

445 W Poplar St
Stockton, CA 95203-2426
Phone: (209) 465-5933
Fax: (209) 465-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G502810 (CA)

Record details

NPI number1962413740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Miselis — President · (209) 465-5933
Other names Heritage Eye Associates
NPI enumeratedAugust 10, 2006
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address445 W Poplar St, Stockton, CA 95203-2426

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