Individual provider Active NPI

Aarick Carlson, OD

  • Optometrist
  • Spokane, WA
National Provider Identifier
1396231023
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.60868166 Issued in WA
Practice address
126 N Washington St
Spokane, WA 99201-0223
Phone
(509) 747-6581
NPI assigned
Jul 5, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD.OD.60868166 WA Primary

Addresses

Primary practice location

126 N Washington St
Spokane, WA 99201-0223

Mailing address

PO Box 385
Inkom, ID 83245-0385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20221107003035 ID Practitioner - Optometry 1951650092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benewah Medical CenterGroup PAC ID 6709878622, 27 clinicians

Practice addresses (Care Compare)

427 12TH St
Plummer, ID 83851-4000

427 N
12TH
Plummer, ID 83851-0388

427 N 12TH St
PO Box 388
Plummer, ID 83851-0388

PO Box
Suite 388
Plummer, ID 83851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD.OD.60868166WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benewah Medical Center CurrentSince Sep 6, 2022 Accepting new patients
Eye Care Team Inc Optometrist PastSince Aug 1, 2018 Accepting new patients

Locations

427 12th St
Plummer, ID 83851
Phone (208) 686-1449

Interoperability endpoints

  • Direct secure messaging: acarlson812422@direct.ochin.org

Organizations & group practices 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1396231023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "INKOM",
            "state": "ID",
            "postal_code": "832450385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N WASHINGTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010223",
            "telephone_number": "509-747-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "AARICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.60868166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.