Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth J Corliss, OD

Individual provider Optometrist · NPI 1316027048

Dr. Kenneth J Corliss, OD is an Optometry in Puyallup, Washington. Graduated from Pacific University - College of Optometry in 1970, 56 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
56
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

312 4th St SE Unit A
Puyallup, WA 98372-3269
Phone: (253) 845-0585
Fax: (253) 845-1939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD915 (WA)

Record details

NPI number1316027048
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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