Kenneth Errol Ekelund, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 5847T Issued in CA

Practice address

310 Hemsted Dr Ste 110
Redding, CA 96002-0935

Phone

(530) 221-0726

Fax

(530) 221-1377

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Procedures performed for Medicare patients

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.

• Kenneth E. Ekelund, O.D. , Inc

  • Optometrist
  • Redding, CA
  • NPI 1336413855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548344146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HEMSTED DR STE 110",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020935",
            "telephone_number": "530-221-0726",
            "fax_number": "530-221-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HEMSTED DR STE 110",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020935",
            "telephone_number": "530-221-0726",
            "fax_number": "530-221-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKELUND",
        "first_name": "KENNETH",
        "middle_name": "ERROL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5847T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "942773840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Ross Ehmer, D.O.
• Peter John Eichwald, NURSE PRACTITIONER
• Leo Edward Eickhoff III, M.D.
• Mark Bernard Eighan, D.D.S.
• Jennifer Eirish
• Mackenzie Eldridge
• Karl Elers
• Elizabeth Stamps
• Elk Mountain Inc.
• Julia Christine Ellenwood

• Optometrist in Redding, CA
• Providers in Redding, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.