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CORLISS OPTOMETRISTS
NPI 1932321296
Optometrist in Puyallup, WA

Active since May 03, 2007CLIA 50D2122657 · Waiver
312 4TH ST SE, PUYALLUP, WA 98372(253) 845-0585(253) 845-1939 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corliss Optometrists NPPES

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

CORLISS OPTOMETRISTS (NPI 1932321296) is a healthcare organization registered as an optometrist in Puyallup, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Clysta C Prieto, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1932321296
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCORLISS OPTOMETRISTS
Location Address312 4TH ST SEPuyallup, WA 98372
Mailing AddressPo Box 1266Puyallup, WA 98371-0237 · (253) 845-0585 · Fax (253) 845-1939
Phone(253) 845-0585
Fax(253) 845-1939
Organization SubpartNo
Authorized OfficialClysta C PrietoBookkeeper · (253) 845-0587
Enumeration DateMay 3, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1932321296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 600080747
Definition
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.
312 4TH ST SE, Puyallup, WA 98372
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Other Identifiers 2

Other0016684WA · Dept Of Labor&industries
Medicaid2211704WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2122657

Corliss Optometrists · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2122657
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKenneth J. Corliss
Laboratory Phone(253) 845-0585
Laboratory LocationCorliss Optometrists312 4th St SE, Puyallup, WA 98372
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MIRANDA LINDSAY OWEN
Counselor
312 4TH ST SE
PUYALLUP, WA 98372
Pierce County (253) 697-8640
DR. KENNETH J CORLISS OD
Optometrist
312 4TH ST SE, UNIT A
PUYALLUP, WA 98372
Pierce County (253) 845-0585
DR. ANNE R BARBER O.D.
Optometrist (Pediatrics)
312 4TH ST SE, SUITE C
PUYALLUP, WA 98372
Pierce County (253) 435-9005

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 Corliss Optometrists's NPI number?

The NPI number for Corliss Optometrists is 1932321296. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Corliss Optometrists located?

Corliss Optometrists is located at 312 4th St SE, Puyallup, WA 98372. The listed phone number is (253) 845-0585.

What is Corliss Optometrists's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Corliss Optometrists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2122657) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corliss Optometrists accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Corliss Optometrists as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corliss Optometrists was last updated on March 3, 2021. 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.