National Provider Identifier
Kevin Douglas Komm, O.D.
Kevin Douglas Komm, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Lewiston, NY and a listed phone number of (716) 754-2555.
Profile Overview
- NPI
- 1013914894
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 07, 2005
- Last Updated
- February 28, 2012
Practice Location
- 900 Center St
- Lewiston, NY 14092-1737
Phone: (716) 754-2555
Mailing Address
- 222 Sundown Trl
- Williamsville, NY 14221-2202
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1013914894
- Entity Type
- Individual
- Last Name
- Komm
- First Name
- Kevin
- Middle Name
- Douglas
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 222 Sundown Trl
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2202
- Mailing Country
- US
- Mailing Phone
- (716) 689-9534
- Mailing Fax
- (716) 689-9534
- Practice Street Address
- 900 Center St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1737
- Practice Country
- US
- Practice Phone
- (716) 754-2555
- Practice Fax
- (716) 754-8650
- Enumeration Date
- July 07, 2005
- Last Updated
- February 28, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 003900255 (NY, Community Blue), 7209530 (NY, Indepentent Health), NY4540 (NY, Eyemed), 32212 (NY, Cole Managed Care), 000102319-01 (NY, Univera)