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Active NPI 1851402085 Individual Practitioner Male Practitioner

Dr. Kenneth Douglas Common , OD

Optometrist • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Common, OD is a registered healthcare professional specializing in Optometrist in Olympia, WA. Practice services are available at 625 BLACK LAKE BLVD SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Black Lake Blvd Sw
Suite #110

Olympia, WA 985025066

Telephone 3603572544
Fax 3603576341
Associated Practice Facility / Clinic
🏢 Kenneth D. Common, O.d., P.s. Facility NPI 1811052798

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
41 Specialists

Practicing in Olympia, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 1155TX

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Van Ly , OD

Optometrist

NPI 1386836591

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2008

Registered at 625 BLACK LAKE BLVD SW, SUITE #110, OLYMPIA, WA 985025066 (Tel: 3603572544)

📍
Updated Business Mailing Address May 21, 2008

Registered at 12804 SE 302ND ST, AUBURN, WA 980922172 (Tel: 2538879174)

👤
Provider Name / Credentials Updated May 21, 2008

Recorded as KENNETH COMMON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Optometrist (License #1155TX in WA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851402085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: May 21, 2008
Sole Proprietor: Yes

Mailing Address

12804 Se 302nd St

Auburn, WA 980922172

Phone: 2538879174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.