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KENNETH D. COMMON, O.D., P.S.
NPI 1811052798
Clinic/Center in Olympia, WA

Active since December 22, 2006
625 BLACK LAKE BLVD SW, SUITE #110, OLYMPIA, WA 98502(360) 357-2544(360) 357-6341 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth D. Common, O.d., P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH D. COMMON, O.D., P.S. (NPI 1811052798) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since December 2006. The organization lists Kenneth Douglas Common, President, as its authorized official.

NPPES Registry Identity

NPI1811052798
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKENNETH D. COMMON, O.D., P.S.
Location Address625 BLACK LAKE BLVD SW, SUITE #110Olympia, WA 98502-5066
Mailing Address625 Black Lake Blvd Sw, Suite #110Olympia, WA 98502-5066 · (360) 357-2544 · Fax (360) 357-6341
Phone(360) 357-2544
Fax(360) 357-6341
Organization SubpartNo
Authorized OfficialKenneth Douglas CommonPresident · (360) 357-2544
Enumeration DateDecember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811052798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · 1155
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
625 BLACK LAKE BLVD SW, Olympia, WA 98502
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAY WOODWORTH NELSON O.D.
Optometrist
625 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 943-2334
DR. JOSEPH BEAUSHAW
Optometrist
625 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 943-2334
DR. DALLAS CARR AND ASSOCIATES
Clinic/Center (Medical Specialty)
625 BLACK LAKE BLVD SW, SUITE 110
OLYMPIA, WA 98502
Thurston County (360) 943-1516
ANGELA LOEB, OD, PLLC
Optometrist
625 BLACK LAKE BLVD SW, SUITE 369
OLYMPIA, WA 98502
Thurston County (360) 753-4533
DR. KENNETH DOUGLAS COMMON O.D.
Optometrist
625 BLACK LAKE BLVD SW, SUITE #110
OLYMPIA, WA 98502
Thurston County (360) 357-2544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth D. Common, O.D., P.S.'s NPI number?

The NPI number for Kenneth D. Common, O.D., P.S. is 1811052798. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Kenneth D. Common, O.D., P.S. located?

Kenneth D. Common, O.D., P.S. is located at 625 Black Lake Blvd SW Suite #110, Olympia, WA 98502. The listed phone number is (360) 357-2544.

What is Kenneth D. Common, O.D., P.S.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth D. Common, O.D., P.S. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.