OrganizationActive
Kiyan Optometric
NPI 1104078062 · Optometrist · San Bernardino, CA
Provider details
- NPI number
- 1104078062
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paul Kiyan, Owner(909) 383-1053
- License
- 5891T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1887 Business Center Dr
Suite 2a
San Bernardino, CA 92408-3463
Phone: (909) 383-1053
Fax: (909) 381-2144
Street-level locationGet directions
Mailing address
1887 Business Center Dr
San Bernardino, CA 92408-3463
Other names (DBA / former)
- Other name
- Paul A. Kiyan
Registry dates
- Enumerated
- 2008-10-22
- Last updated
- 2008-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.