Individual provider Active NPI

Alex L Sov, OD

  • Optometrist
  • Spokane, WA
National Provider Identifier
1679464234
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.61689813 Issued in WA
Practice address
4750 N Division St # 1010
Spokane, WA 99207-1411
Phone
(509) 596-9879
NPI assigned
Jul 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 OD.OD.61689813 WA Primary

Addresses

Primary practice location

4750 N Division St # 1010
Spokane, WA 99207-1411

Mailing address

1310 W College Ave Apt 305
Spokane, WA 99201-2048
Phone (281) 736-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250922001997 WA Practitioner - Optometry 2365946324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

3500 S Meridian
Suite 926
Puyallup, WA 98373-3749
Phone (253) 864-9353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD.OD.61689813WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Sexton, O.D., LLC Optometrist CurrentSince Jul 26, 2025 Accepting new patients

Locations

3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350

4750 N Division St
Ste 1010
Spokane, WA 99207
Phone (509) 596-9879

14700 E Indiana Ave
Spc 1008
Spokane Valley, WA 99216
Phone (509) 596-9880

Organizations & group practices 1

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1679464234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W COLLEGE AVE APT 305",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012048",
            "telephone_number": "281-736-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST # 1010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071411",
            "telephone_number": "509-596-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOV",
        "first_name": "ALEX",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.61689813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.