Search › California › Optometrist
Kenneth Van, OD
NPI 1982191110 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5729 Nutwood Cir
Simi Valley, CA 93063 - Phone
- (805) 587-3693
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California