Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH J CORLISS, OD
ActiveDR. KENNETH J CORLISS, OD is a Optometrist healthcare provider located in PUYALLUP, Washington. NPI 1316027048 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PUYALLUP, WA
Registration Details
- NPI Number
- 1316027048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.805734290297 yrs)
- Last Updated
- Mar 3, 2020
- License
-
OD915 (WA)
Practice Information
- Address
-
312 4TH ST SEUNIT APUYALLUP, WA, 983723269Browse WA providers · Browse ZIP 98372
- Phone
- 2538450585
- Fax
- 2538451939
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| GARY DANA LINTON | OD | 1740279595 |
| DR. JOSEPH DAYMON DAY | O.D. | 1679562433 |
| DR. NIDA GOULDING | O.D. | 1477581080 |
| VIVIAN YEUNG | OD | 1194737056 |
| DR. JASON JAEHOON CHUNG | O.D | 1508976168 |
| MR. RIKK JEREMY SCHLAFFMAN | O.D. | 1144327289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.