DR. KENNETH MARK MCKENZIE


Address: 1124 S Main St, # 101, Corona, CA 92882-4449
Phone: 9517376363

DR. KENNETH MARK MCKENZIE (NPI# 1750324471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750324471
Entity Type Individual
Full Name DR. KENNETH MARK MCKENZIE
Credential OD
Practice Address 1124 S Main St
# 101
Corona
CA 92882-4449
Practice Telephone 9517376363
Practice Fax Number 9512726723
Mailing Telephone 9517376363
Mailing Fax Number 9512726723
Enumeration Date 2006-06-13
Last Update Date 2009-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPT 6826T CA Eye and Vision Services Providers

Other Providers KENNETH MCKENZIE

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1730479262 Kenneth Lee Mckenzie Pharmacist 211 W Lake St, Tawas City, MI 48763-9274 2011-04-18
1841326022 Kenneth Robert Mckenzie Family Medicine 47 Unity Rd, Albion, ME 04910-6151 2007-02-24
1114032570 Kenneth E Mckenzie Physical Therapist 5008 W 92nd Ave, Westminster, CO 80031-6302 2006-08-19
1356744890 Kenneth Chandler Mckenzie Physician Assistant 1401 W 5th St, Sheridan, WY 82801-2705 2014-09-29

Office Location

Street Address 1124 S MAIN ST
# 101
City CORONA
State CA
Zip Code 92882-4449

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801422688 Kun Hee Lim Optometrist 1124 S Main St, Corona, CA 92882-4449 2020-03-12
1245682061 Katy Wan Optometrist 1124 S Main St, Suite 101, Corona, CA 92882-4449 2016-07-05
1003253287 Moon G Yun Md, Inc Anesthesiology 1124 S Main St, Ste 102, Corona, CA 92882-4449 2013-05-29
1598907883 Benjamin Arthur Katz Ophthalmology 1124 S Main St, Corona, CA 92882-4449 2009-04-01
1902042658 Corona Outpatient Surgicenter, LLC Clinic/Center 1124 S Main St, # 101, Corona, CA 92882-4449 2008-12-31
1255517322 Schneider Vision Care Center Inc Clinic/Center 1124 S Main St, Suite 102, Corona, CA 92882-4449 2008-01-18
1124156120 Tri-county Eye Institute Inc Ophthalmology 1124 S Main St, # 101, Corona, CA 92882-4449 2007-03-01
1134296767 Mark Edward Schneider Ophthalmology 1124 S Main St, # 101, Corona, CA 92882-4449 2006-11-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477116341 People Providing Training Solutions Health Educator 650 S. Main Street Corona Public Library, Corona, CA 92882 2019-04-17
1972080752 Boris Shlopov Md Pathology Medical Corporation Pathology 800 S Main, Corona, CA 92882 2018-07-24
1316431232 Julia's Care Hospice Hospice Care, Community Based 1450 N Sixth St, Ste 117, Corona, CA 92882 2018-06-15
1477060499 Shilpy Kanda Physician Assistant 2250 S Main St Ste 107, Corona, CA 92882 2017-12-29
1831616333 Cindy Ruiz Behavioral Analyst 2868 Briarhaven Ln, Corona, CA 92882 2017-08-24
1366965667 3 Vest Medical Transportation Wc LLC Non-emergency Medical Transport (VAN) 3256 Rural Lane, Corona, CA 92882 2017-07-19
1477073468 Adrian Macias I Counselor 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 2017-06-21
1699205286 Sylvia Barrow Counselor 2275 South Main Street Suite 201, Corona, CA 92882 2017-06-15
1417348574 Pensar Medical Durable Medical Equipment & Medical Supplies 1269 Pomona Rd Ste 107, Corona, CA 92882 2015-02-11
1215327085 Anne Maureen Sims Social Worker 2275 South Main, #201, Corona, CA 92882 2015-01-30
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467087544 Inland Eye Specialists, A Medical Corporation Optometrist 1810 Fullerton Ave Ste 206, Corona, CA 92881-3110 2020-03-09
1245725779 Bracha Namdar Optometrist 103-06 Roosevelt Ave, Corona, NY 11368 2018-06-27
1578019220 Rheeza Oriel Optometrist 7056 Archibald St Ste 107, Corona, CA 92880 2016-08-31
1588079404 Trina Patel Optometrist 917 Mangrove Cir, Corona, CA 92881-8697 2014-06-30
1528481546 Dina Ibrahim Optometrist 1165 Lavendar Way, Corona, CA 92882-7332 2014-01-27
1760817191 Corona Optometry PC Optometrist 3781 Junction Blvd, Corona, NY 11368-1740 2013-09-04
1336373745 E and D Optical Inc. Optometrist 5822 99th St, Corona, NY 11368-4306 2009-05-13
1295993103 Corona Valley Optometry Inc Optometrist 7056 Archibald Avenue, Ste 107, Corona, CA 92880-8714 2008-05-28
1336321728 Corona Optometry, PC Optometrist 103-06 Roosevelt Avenue, Corona, NY 11368 2007-11-28
1396945408 Jason Lam Optometrist 2620 Tuscany St, Suite 103, Corona, CA 92881-4646 2007-07-18
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Competitor

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City CORONA
Zip Code 92882

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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