Kevin Douglas Komm O.D.

NPI 1013914894 - Optometrist - 152W00000X

NPI Details
NPI 1013914894
Gender Male
Enumeration Date 07/07/2005
Last Updated 02/28/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
900 CENTER ST
LEWISTON NY, 14092-1737, US
Phone (716) 754-2555
Fax (716) 754-8650
Business Location
222 SUNDOWN TRL
WILLIAMSVILLE NY, 14221-2202, US
Phone (716) 689-9534
Fax (716) 689-9534
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number VUT004540
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According to our database, Dr. Kevin Douglas Komm O.D. NPI is 1013914894, taxonomy code is 152W00000X and license number is VUT004540, license state is located at New York. Kevin Douglas Komm O.D. physically located at 900 Center St, Lewiston NY, 14092-1737. NPI Number Kevin Douglas Komm O.D. has the Individual type.

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1013914894 NPI number is provided on an as is basis without warranty of any kind. 1013914894 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Douglas Komm O.D. are for informational purposes only.