OrganizationActive
Kenneth a Peterson
NPI 1235371782 · Eyewear Supplier · Pismo Beach, CA
Kenneth a Peterson is a Eyewear Supplier organization in Pismo Beach, CA (NPI 1235371782).
Provider details
- NPI number
- 1235371782
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Peterson, Owner(805) 473-9393
- License
- CA 9884T (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 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
911 Oak Park Blvd Ste 104
Pismo Beach, CA 93449-3406
Phone: (805) 473-9393
Street-level locationGet directions
Mailing address
911 Oak Park Blvd Ste 104
Pismo Beach, CA 93449-3406
Registry dates
- Enumerated
- 2009-03-30
- Last updated
- 2009-03-30
Frequently asked questions
- What is Kenneth a Peterson's NPI number?
- Kenneth a Peterson's National Provider Identifier (NPI) is 1235371782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth a Peterson?
- Kenneth a Peterson is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Kenneth a Peterson located?
- Kenneth a Peterson's practice location on file with NPPES is 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406.
- What is Kenneth a Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth a Peterson is (805) 473-9393.
- Who is the authorized official for Kenneth a Peterson?
- The authorized official listed on Kenneth a Peterson's NPPES record is Kenneth Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth a Peterson's NPI active?
- Yes — Kenneth a Peterson's NPI (1235371782) is active in the NPPES registry as of the last update on 2009-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.