Individual provider Active NPI

Lucas Hoekstra, O.D.

  • Optometrist
  • Burlington, WA
National Provider Identifier
1811207798
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60508291 Issued in WA
Practice address
855 S Alder St Ste a
Burlington, WA 98233-2808
Phone
(360) 755-9211
NPI assigned
Oct 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60508291 WA Primary

Addresses

Primary practice location

855 S Alder St Ste a
Burlington, WA 98233-2808

Mailing address

855 S Alder St Ste a
Burlington, WA 98233-2808
Phone (360) 755-9211

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
I20141231001767 WA Practitioner - Optometry 3971826769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

855 S Alder St
Suite a
Burlington, WA 98233-2808
Phone (360) 755-9211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60508291WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus Burlington, PLLC Optometrist CurrentSince Nov 7, 2018 Accepting new patients
Mill Creek Family Eyewear Optometrist CurrentSince Mar 9, 2020 Accepting new patients
Binyon Vision Bellingham PLLC Optometrist PastSince Aug 15, 2021 Accepting new patients

Locations

855 S Alder St
#A
Burlington, WA 98233
Phone (360) 755-9211

855 S Alder St
Burlington, WA 98233

16708 Bothell Everett Hwy
Ste 103
Mill Creek, WA 98012
Phone (425) 480-3111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1811207798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST STE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST STE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60508291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

Verify at the official NPI Registry.