Komm, Kevin Douglas

Komm, Kevin Douglas is an sole proprietor health care provider with primary practice located at 900 Center St , Lewiston NY 14092-1737. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Komm, Kevin Douglas can be contacted via phone (716) 754-2555.

Contact Information

Primary practice address
900 Center St Lewiston NY 14092-1737
Phone: (716) 754-2555
Fax: (716) 754-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004540 New York

Profile Details

NPI number 1013914894
LBN Legal business name Komm, Kevin Douglas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Feb 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013914894 NPPES
New York Other 003900255 COMMUNITY BLUE
New York Other 7209530 COMMUNITY BLUE
New York Other NY4540 COMMUNITY BLUE
New York Other 32212 COMMUNITY BLUE
New York Other 000102319-01 COMMUNITY BLUE

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