DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH DOUGLAS COMMON, O.D.

Active Sole Proprietor

DR. KENNETH DOUGLAS COMMON, O.D. is a Optometrist healthcare provider located in OLYMPIA, Washington. NPI 1851402085 is currently active in the NPPES registry. Verify at CMS.

Optometrist · OLYMPIA, WA

Registration Details

NPI Number
1851402085
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.93427013056 yrs)
Last Updated
May 21, 2008
License
1155TX (WA)
Sole Proprietor
Yes

Practice Information

Address
625 BLACK LAKE BLVD SW
SUITE #110
OLYMPIA, WA, 985025066
Browse WA providers · Browse ZIP 98502
Phone
3603572544
Fax
3603576341
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in OLYMPIA, WA

Name Credential NPI
DR. MARLENE J. INVERSO O.D. 1295730307
DR. JAMES H. GRIMES O.D. 1104818814
DR. DALE L TOSLAND O.D. 1285629485
DR. KIMBERLY A CARR-YEATES O.D. 1114903937
MICHAEL D MOORE OD 1770560708
DR. SUSAN M DINI OD 1508894007
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.