Kenneth R Kendall (NPI# 1700889532, PAC ID# 6406806207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1700889532 |
| PAC ID by PECOS | 6406806207 |
| Professional Enrollment ID | I20050128000944 |
| Full Name | Kenneth R Kendall |
| Organization Legal Name | ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION |
| Address |
425 W Central Ave Suite 102 Lompoc CA 93436-2806 |
| Phone Number | 8057362020 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5597715391 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 | 8057362020 | ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION |
| Organization Legal Name | ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Hua | Optometry | Elite Eyecare Medical Group A Medical Corporation | 910 E Stowell Rd, Santa Maria, CA 93454-7001 |
| Stephen Scott Bylsma | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 1429 S Broadway, Santa Maria, CA 93454-6913 |
| Daniel P Shepard | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| James T Franta | Optometry | Elite Eyecare Medical Group A Medical Corporation | 910 E Stowell Rd, Santa Maria, CA 93454-7001 |
| Ragui W Sedeek | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 910 E Stowell Rd, Santa Maria, CA 93454-7001 |
| Dennis Bales | Optometry | Elite Eyecare Medical Group A Medical Corporation | 2040 Viborg Rd, Suite 240, Solvang, CA 93463-3203 |
| Timothy E Nelson | Optometry | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Shahriar Rami Zarnegar | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 910 E Stowell Rd, Santa Maria, CA 93454-7001 |
| Peter N Brudner | Optometry | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Randall L Goodman | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 910 E Stowell Rd, Santa Maria, CA 93454-7001 |
| Street Address |
425 W CENTRAL AVE SUITE 102 |
| City | LOMPOC |
| State | CA |
| Zip | 93436-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel P Shepard | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Timothy E Nelson | Optometry | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Peter N Brudner | Optometry | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard I Weinstock | Otolaryngology | 3839 Constellation Rd, Suite A, Lompoc, CA 93436-0432 | |
| Charles E Smith | Psychologist, Clinical | 3839 Constellation Rd, Suite C, Lompoc, CA 93436-0434 | |
| Jeffrey L Danhauer | Qualified Audiologist | 3839 Constellation Rd, Suite D, Lompoc, CA 93436-0435 | |
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Igor Galan | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Jason Cord Williford | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Laura L Megorden | Podiatry | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Latavia S Esters | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Michael A Hoosier | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Janice L Anderson | Clinical Social Worker | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Find all physicians in zip 93436 | |||
| City | LOMPOC |
| Zip Code | 93436 |
| Specialty | OPTOMETRY |
| City + Specialty | LOMPOC + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.