Individual provider Active NPI

Ariel A Lenning, OD

  • Optometrist
  • Everett, WA
National Provider Identifier
1629691431
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61074930 Issued in WA
Practice address
12728 19TH Ave SE Ste 102
Everett, WA 98208-6676
Phone
(425) 353-5544
Fax
(206) 350-5544
NPI assigned
May 27, 2020
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61074930 WA Primary

Addresses

Primary practice location

12728 19TH Ave SE Ste 102
Everett, WA 98208-6676

Mailing address

12728 19TH Ave SE Ste 102
Everett, WA 98208-6676
Phone (425) 353-5544

Other names 1

  • Ariel I Auerbach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20200729001788 WA Practitioner - Optometry 8426473190 Reassigns benefits to 2 organizations
I20251130000208 TX Practitioner - Optometry 8426473190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Provider Enterprise LLCGroup PAC ID 0840458667, 8 clinicians
Vision Plus of Silver Lake PLLCGroup PAC ID 8426455924, 2 clinicians

Practice addresses (Care Compare)

1015 N Garrison Rd
Vancouver, WA 98664-1313
Phone (360) 694-7501

12728 19TH Ave SE
Suite 102
Everett, WA 98208-6526
Phone (425) 353-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61074930WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington CurrentSince Oct 18, 2025 Accepting new patients
Professional Provider Enterprise LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Tulalip Tribes of Washington Optometrist CurrentSince Oct 18, 2025 Accepting new patients
Vision Plus of Silver Lake PLLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients

Locations

10826 Old Mill Rd
Ste 101
Omaha, NE 68154

12728 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 353-5544

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

6406 Marine Dr
Ste A
Tulalip, WA 98271

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

1015 N Garrison Rd
Vancouver, WA 98664
Phone (360) 694-7501

Interoperability endpoints

  • Direct secure messaging: alenning3840105@wm.providencedirect.org

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1629691431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086676",
            "telephone_number": "425-353-5544",
            "fax_number": "206-350-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086676",
            "telephone_number": "425-353-5544",
            "fax_number": "206-350-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNING",
        "first_name": "ARIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61074930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "AUERBACH",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.