Organization Active NPI

Peninsula Optometric Centers Inc

  • Optometrist
  • Monterey, CA
National Provider Identifier
1609738814
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PENINSULA OPTOMETRIC CENTERS INC
Practice address
700 Cass St Ste 101
Monterey, CA 93940-2900
Phone
(831) 641-7252
Fax
(831) 288-1178
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennell Bockenstedt, ODNPI 1952318537
Title
Optometrist
Phone
(831) 641-7252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

700 Cass St Ste 101
Monterey, CA 93940-2900

Mailing address

700 Cass St Ste 101
Monterey, CA 93940-2900
Phone (831) 641-7252

Other practice location 1

271 Reservation Rd Ste 202
Marina, CA 93933-3175
Phone (831) 384-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260227001855 CA Part B Supplier - Clinic/Group Practice 0547741472 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

271 Reservation Rd
Ste 202
Marina, CA 93933
Phone (831) 384-6800

700 Cass St
Ste 101
Monterey, CA 93940
Phone (831) 641-7252

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1609738814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CASS ST STE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402900",
            "telephone_number": "831-641-7252",
            "fax_number": "831-288-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CASS ST STE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402900",
            "telephone_number": "831-641-7252",
            "fax_number": "831-288-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 Reservation Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Marina",
            "state": "CA",
            "postal_code": "939333175",
            "country_code": "US",
            "telephone_number": "831-384-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENINSULA OPTOMETRIC CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BOCKENSTEDT",
        "authorized_official_first_name": "JENNELL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "831-641-7252",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.