Carl Neil Ekman III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60172882 Issued in WA

Practice address

10217 19TH Ave SE Ste 102
Everett, WA 98208-4266

Phone

(253) 169-4004

Fax

(253) 168-8204

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kyle Sexton, O.D., LLC

  • Optometrist
  • Puyallup, WA
  • NPI 1972778009
  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment NPD
• Southwestern Eye Center, LTD

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1558102608

  Optometrist

  NPD
• Binyon Optometrists, Inc .PS

  • Optometrist
  • Bellingham, WA
  • NPI 1245412014
  NPD (past)
• Binyon Vision Bellingham PLLC

  • Optometrist
  • Bellingham, WA
  • NPI 1265107114
  NPD (past)
• Vision Plus Inside Snohomish Top Foods PS

  • Optometrist
  • Snohomish, WA
  • NPI 1780917872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1174837579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "253-169-4004",
            "fax_number": "253-168-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "253-169-4004",
            "fax_number": "253-168-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMAN",
        "first_name": "CARL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2236",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60172882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372548",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekaterina Malinovska DDS PLLC
• Anna Ekblad
• Lilian Nkombu Ekenya Fonjock
• Linnea Diane Ekin, PA-C
• Nathan William Eklund, MA, LMHC
• Kenneth C Elam, M.D.
• Noha Elbahouty
• Elderflowers Counseling
• Eleanor Health Professional Wa, PLLC
• Electrodiagnosis & Rehabilitation Medicine Inc PS

• Optometrist in Everett, WA
• Providers in Everett, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.