Active NPI
Ariel A Lenning, OD
- Optometrist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61074930
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD61074930 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulalip Tribes of Washington | Current | Accepting new patients | |
| Professional Provider Enterprise LLC | Optometrist | Current | Accepting new patients |
| Tulalip Tribes of Washington | Optometrist | Current | Accepting new patients |
| Vision Plus of Silver Lake PLLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Everett, WA
- NPI 1891461117
-
dba Tulalip Tribes Health Clinic
- General Practice Physician
- Tulalip, WA
- NPI 1770531501
TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.