Organization Active NPI

Larkspur Optometry, Inc.

Doing business as Nancy Ekelund Optometry

  • Optometrist
  • Redding, CA
National Provider Identifier
1326464488
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7944TPG Issued in CA
Legal business name
LARKSPUR OPTOMETRY, INC.
Doing business as
Nancy Ekelund Optometry
Practice address
2620 Larkspur LN Ste L
Redding, CA 96002-1043
Phone
(530) 223-4300
Fax
(530) 222-8903
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Nancy Cozette Ekelund, O.D.
Title
President
Phone
(530) 222-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7944TPG CA Primary

Addresses

Primary practice location

2620 Larkspur LN Ste L
Redding, CA 96002-1043

Mailing address

2620 Larkspur LN Ste L
Redding, CA 96002-1043
Phone (530) 223-4300

Other names 1

  • Nancy Ekelund Optometry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1326464488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 LARKSPUR LN STE L",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021043",
            "telephone_number": "530-223-4300",
            "fax_number": "530-222-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 LARKSPUR LN STE L",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021043",
            "telephone_number": "530-223-4300",
            "fax_number": "530-222-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKSPUR OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "EKELUND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "COZETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-222-4300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7944TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Ekelund Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.