Ken P Optometry Corp
NPI 1497133011 · Optometrist · Pismo Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ken P Optometry Corp is a Optometrist organization in Pismo Beach, CA (NPI 1497133011).
Provider details
- NPI number
- 1497133011
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kenneth Peterson, Owner/Optometrist(805) 473-9393
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Dr. Ken Peterson Family Optometry
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2015-05-14
Frequently asked questions
- What is Ken P Optometry Corp's NPI number?
- Ken P Optometry Corp's National Provider Identifier (NPI) is 1497133011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ken P Optometry Corp?
- Ken P Optometry Corp is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Ken P Optometry Corp located?
- Ken P Optometry Corp's practice location on file with NPPES is 911 Oak Park Blvd, Pismo Beach, CA 93449-3405.
- What is Ken P Optometry Corp's phone number?
- The practice phone number listed in the NPPES registry for Ken P Optometry Corp is (805) 473-9393.
- Does Ken P Optometry Corp accept Medicare?
- Ken P Optometry Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ken P Optometry Corp?
- The authorized official listed on Ken P Optometry Corp's NPPES record is Kenneth Peterson, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ken P Optometry Corp's NPI active?
- Yes — Ken P Optometry Corp's NPI (1497133011) is active in the NPPES registry as of the last update on 2015-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.