Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295813236 Deactivated / Inactive NPI Male Practitioner

Dr. John P Corliss , OD

Optometrist • Puyallup, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Corliss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date November 01, 2006
Total Practice Duration ~1 Years of Practice (2006 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. John Corliss, OD was a registered Optometrist practicing in Puyallup, WA. Throughout an active medical career spanning 1 years, Dr. Corliss provided care at the practice location at 312 4TH ST SE until profile deactivation on 2006-11-01.

Practice Location & Contact Primary Location

Practice Address

312 4th St Se

Puyallup, WA 98372

Telephone 2538450585
Fax 2538451939
Associated Practice Facility / Clinic
🏢 Corliss Optometrists Facility NPI 1932321296

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Puyallup, 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 OD299

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
NPI 1316027048

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2008

Registered at 312 4TH ST SE, PUYALLUP, WA 98372 (Tel: 2538450585)

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Updated Business Mailing Address June 19, 2008

Registered at PO BOX 1266, PUYALLUP, WA 983710237 (Tel: 2538450585)

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Provider Name / Credentials Updated June 19, 2008

Recorded as JOHN CORLISS, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Optometrist (License #OD299 in WA)

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NPI Profile Deactivated November 01, 2006

Record deactivated on November 01, 2006

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Initial NPI Registration & Enumeration November 01, 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: 1295813236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: June 19, 2008
Deactivation Date: November 01, 2006

Mailing Address

Po Box 1266

Puyallup, WA 983710237

Phone: 2538450585

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.