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

Kenneth Bracken, OD

Individual provider Optometrist · NPI 1356652622

Kenneth Bracken, OD is an Optometry in Barstow, California. Graduated from Ferris State College - College of Optometry in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
Ferris State College - College of Optometry
Licensed in
CA
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1356 E Main St Ste A
Barstow, CA 92311-3241
Phone: (760) 256-8014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13954 (CA)

Record details

NPI number1356652622
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESDecember 17, 2021
Certification dateSeptember 25, 2021
Mailing address1356 E Main St Ste A, Barstow, CA 92311-3241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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