DR. Kenneth A Peterson, OD
NPI #1871565788 in Pismo Beach, California
Provider Information
- NPI Number
- 1871565788
- Entity Type
- Individual
- Name
- DR. Kenneth A Peterson, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Feb 3, 2006
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 911 OAK PARK BLVD STE 104
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-3406
- Phone
- (805) 473-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
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|---|---|
| Ken P Optometry Corp | AI Deep Dive |
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