OrganizationActive
Kenneth V. Miselis, M.D. Inc.
NPI 1962413740 · Specialist · Stockton, CA
Kenneth V. Miselis, M.D. Inc. is a Specialist organization in Stockton, CA (NPI 1962413740).
Provider details
- NPI number
- 1962413740
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Miselis, President(209) 465-5933
- License
- G502810 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
445 W Poplar St
Stockton, CA 95203-2426
Phone: (209) 465-5933
Fax: (209) 465-2562
Street-level locationGet directions
Mailing address
445 W Poplar St
Stockton, CA 95203-2426
Other names (DBA / former)
- Doing business as
- Heritage Eye Associates
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Frequently asked questions
- What is Kenneth V. Miselis, M.D. Inc.'s NPI number?
- Kenneth V. Miselis, M.D. Inc.'s National Provider Identifier (NPI) is 1962413740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth V. Miselis, M.D. Inc.?
- Kenneth V. Miselis, M.D. Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Kenneth V. Miselis, M.D. Inc. located?
- Kenneth V. Miselis, M.D. Inc.'s practice location on file with NPPES is 445 W Poplar St, Stockton, CA 95203-2426.
- What is Kenneth V. Miselis, M.D. Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kenneth V. Miselis, M.D. Inc. is (209) 465-5933.
- Who is the authorized official for Kenneth V. Miselis, M.D. Inc.?
- The authorized official listed on Kenneth V. Miselis, M.D. Inc.'s NPPES record is Kenneth Miselis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth V. Miselis, M.D. Inc.'s NPI active?
- Yes — Kenneth V. Miselis, M.D. Inc.'s NPI (1962413740) is active in the NPPES registry as of the last update on 2020-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.