| Corliss Optometrists | |
|
312 4th St Se, Puyallup, WA 98372 | |
| (253) 845-0585 | |
| (253) 845-1939 |
| Full Name | Corliss Optometrists |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 312 4th St Se, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932321296 | NPI | - | NPPES |
| 0016684 | Other | WA | DEPT OF LABOR&INDUSTRIES |
| 2211704 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 600080747 (Washington) | Primary |
| Provider Name | Kenneth J Corliss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316027048 PECOS PAC ID: 1052444569 Enrollment ID: I20100804000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Corliss Optometrists Po Box 1266, Puyallup, WA 98371-0237 Ph: (253) 845-0585 | Corliss Optometrists 312 4th St Se, Puyallup, WA 98372 Ph: (253) 845-0585 |
Dr. Cheryl Dawn Croft, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 | |
Laura Weiter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 31st Ave Se, Puyallup, WA 98374 Phone: 253-770-6469 | |
Dr. Tajinder Kaur Shergill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3500 S Meridian, #345, Puyallup, WA 98373 Phone: 253-848-9620 Fax: 253-840-8536 | |
Dr. Richard Do, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 16502 Meridian E, Next To Walmart Vision Center, Puyallup, WA 98375 Phone: 253-446-1760 Fax: 253-446-1762 | |
Mr. Rikk Jeremy Schlaffman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
Dr. Sharon S Cheriyan, OD. Optometrist Medicare: Medicare Enrolled Practice Location: 13304 94th Avenue Ct E, Puyallup, WA 98373 Phone: 425-369-6726 | |
Puyallup Vision Source Ps Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 W Pioneer, Puyallup, WA 98371 Phone: 253-845-8215 Fax: 253-845-7030 |