Individual provider Active NPI

Aleksey Shkurat, O.D.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1194034272
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60388410 Issued in WA
Practice address
311 Telegraph Rd
Bellingham, WA 98226-8751
Phone
(360) 733-3565
Fax
(360) 647-0521
NPI assigned
Oct 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60388410 WA Primary

Addresses

Primary practice location

311 Telegraph Rd
Bellingham, WA 98226-8751

Mailing address

311 Telegraph Rd
Bellingham, WA 98226-8751
Phone (360) 733-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180502002473 WA Practitioner - Optometry 9032473848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C Fast Optometry Bellingham Inc PSGroup PAC ID 5698146892, 2 clinicians

Practice addresses (Care Compare)

1303 Cornwall Ave
Bellingham, WA 98225-4716
Phone 36064704212

311 Telegraph Rd
Bellingham, WA 98226-8751
Phone (360) 733-3565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60388410WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksey Shkurat OD PLLC Optometrist CurrentSince Apr 16, 2018 Accepting new patients
C Fast Optometry Bellingham Inc PS Optometrist CurrentSince Nov 7, 2022 Accepting new patients
C Fast Optometry, Inc. P.S. Optometrist Past Accepting new patients
Eyes Rite Optical Group LLC PastSince Apr 16, 2018 Accepting new patients

Locations

1303 Cornwall Ave
Bellingham, WA 98225
Phone (360) 647-0421

311 Telegraph Rd
Bellingham, WA 98226
Phone (360) 733-3565

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1194034272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 TELEGRAPH RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268751",
            "telephone_number": "360-733-3565",
            "fax_number": "360-647-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 TELEGRAPH RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268751",
            "telephone_number": "360-733-3565",
            "fax_number": "360-647-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKURAT",
        "first_name": "ALEKSEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60388410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.