Kenneth D. Common, O.D., P.S. in Olympia - Clinic/center
Kenneth D. Common, O.D., P.S. - NPI 1811052798
Kenneth D. Common, O.D., P.S. is a Clinic/center in Olympia, Washington. Kenneth D. Common, O.D., P.S. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Kenneth D. Common, O.D., P.S. is 1811052798. The last update date is 2020-08-22.
Kenneth D. Common, O.D., P.S.'s current location address is 625 Black Lake Blvd Sw, Olympia, Washington. You can contact this provider via phone number 3603572544 and fax number 3603576341. The mailing address for Kenneth D. Common, O.D., P.S. is 625 Black Lake Blvd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth D. Common, O.D., P.S. |
|---|---|
| Address | 625 Black Lake Blvd Sw, Olympia, Washington |
| Phone Number | 3603572544 |
| Fax Number | 3603576341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Common Douglas Kenneth |
| Credentials | O.D. |
| Telephone Number | 3603572544 |
NPI Number Detail
| NPI Number | 1811052798 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 625 Black Lake Blvd Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985025066 |
| Phone Number | 3603572544 |
| Fax Number | 3603576341 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 1155 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the Kenneth D. Common, O.D., P.S.'s 1811052798?
The Kenneth D. Common, O.D., P.S.'s NPI (National Provider Identifier) Number is 1811052798. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth D. Common, O.D., P.S.'s physical address?
The Kenneth D. Common, O.D., P.S. is physically located at 625 Black Lake Blvd Sw, in the city of Olympia, WA, with the postal code 985025066.
What is the Kenneth D. Common, O.D., P.S.'s area of specialization and corresponding taxonomy classification?
The Kenneth D. Common, O.D., P.S.'s specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1811052798 assigned to Kenneth D. Common, O.D., P.S.?
The Kenneth D. Common, O.D., P.S. was issued its 1811052798 on 2006-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth D. Common, O.D., P.S., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth D. Common, O.D., P.S., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.