DR. KEVIN DOUGLAS KOMM (NPI# 1013914894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013914894 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DOUGLAS KOMM |
| Credential | O.D. |
| Practice Address |
900 Center St Lewiston NY 14092-1737 |
| Mailing Address |
222 Sundown Trl Williamsville NY 14221-2202 |
| Practice Telephone | 7167542555 |
| Practice Fax Number | 7167548650 |
| Mailing Telephone | 7166899534 |
| Mailing Fax Number | 7166899534 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VUT004540 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 000102319-01 | 01 |
| NY | COMMUNITY BLUE | 003900255 | 01 |
| NY | EYEMED | NY4540 | 01 |
| NY | COLE MANAGED CARE | 32212 | 01 |
| NY | INDEPENTENT HEALTH | 7209530 | 01 |
| Street Address |
900 CENTER ST |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909800 | Hannah Rachel Medwin | Optometrist | 900 Center St, Lewiston, NY 14092-1767 | 2020-07-06 |
| 1487279667 | Kevin D. Komm,od | Optometrist | 900 Center St, Lewiston, NY 14092-1767 | 2020-06-12 |
| 1740468677 | Niagara Labmasters, Inc. | Durable Medical Equipment & Medical Supplies | 900 Center St, Lewiston, NY 14092-1737 | 2008-02-01 |
| 1821118324 | Tina Sue Vizzi | Technician/Technologist | 900 Center St, Lewiston, NY 14092-1737 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710276324 | Wilson Polito Pllc | Optometrist | 739 Bryden Ave Ste A, Lewiston, ID 83501-4909 | 2011-04-04 |
| 1396995239 | Isaac M Bell | Optometrist | 210 Thain Rd, Lewiston, ID 83501-4830 | 2008-09-29 |
| 1568560811 | Lee U De Rosa | Optometrist | 633 Main St, Lewiston, ME 04240-5938 | 2006-09-20 |
| 1285745075 | Arthur Gene Osterberg | Optometrist | 1313 G St, Lewiston, ID 83501-1934 | 2006-08-31 |
| 1457468613 | Carmine John Petracca | Optometrist | 939 Bryden, Lewiston, ID 83501-5097 | 2006-08-24 |
| 1972610236 | Donald K James | Optometrist | 3330 4th St, Lewiston, ID 83501-4405 | 2006-08-24 |
| 1821013913 | Edward Bruce Kirn | Optometrist | 249 Main Street, Lewiston, ME 04240-7053 | 2006-07-12 |
| 1801821616 | Melissa M Bell | Optometrist | 1910 Idaho St, Lewiston, ID 83501-2564 | 2006-07-11 |
| 1821024050 | John T Rietz | Optometrist | 1616 19th Ave, Lewiston, ID 83501-4005 | 2006-06-22 |
| 1962458505 | Reginald Mailhot | Optometrist | 220 Sabattus St, Lewiston, ME 04240-6347 | 2006-05-25 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.