Kenneth D. Common, O.D., P.S.

LBN: Kenneth D. Common, O.D., P.S.
Kenneth D. Common, O.D., P.S. is an health care organization with primary practice located at 625 Black Lake Blvd Sw Suite #110, Olympia WA 98502-5066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Kenneth D. Common, O.D., P.S. can be contacted via phone (360) 357-2544, or through Common, Kenneth Douglas via phone (360) 357-2544.

Contact Information

Primary practice address
625 Black Lake Blvd Sw Suite #110 Olympia WA 98502-5066
Phone: (360) 357-2544
Fax: (360) 357-6341
Website:
Map and Directions
Authorized official contact:
Name: Common, Kenneth Douglas Doctor of Optometry (OD)
Phone: (360) 357-2544

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1155 Washington

Profile Details

NPI number 1811052798
LBN Legal business name Kenneth D. Common, O.D., P.S.
DBA Doing business as
Authorized official Common, Kenneth Douglas Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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