DR. DOUGLAS JACK EKHOLM OD DOCTOR OF OPTOMET
NPI 1104983808
Optometrist in Lansing, MI

Q: What is Douglas Ekholm's NPI number?

The NPI number for Douglas Ekholm is 1104983808. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Douglas Ekholm's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ekholm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 02, 2007

5417 W SAGINAW HWY, CARE OF WALLACE OPTICIANS, LANSING, MI 48917(517) 323-4027(517) 323-1807 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Douglas Jack Ekholm Od Doctor Of Optomet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS JACK EKHOLM OD DOCTOR OF OPTOMET (NPI 1104983808) is an individual optometrist in Lansing, Michigan, licensed in Michigan (4901002272) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104983808

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DOUGLAS JACK EKHOLMCredential: OD DOCTOR OF OPTOMET

Location Address5417 W SAGINAW HWY, CARE OF WALLACE OPTICIANSLansing, MI 48917

Mailing Address5417 W Saginaw Hwy, Care Of Wallace OpticiansLansing, MI 48917 · (517) 323-4027 · Fax (517) 323-1807

Phone(517) 323-4027

Fax(517) 323-1807

Sole ProprietorNo

Enumeration DateJanuary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104983808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901002272

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5417 W SAGINAW HWY, Lansing, MI 48917

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Other Identifiers 2

Medicare ID-Type UnspecifiedON95640MI

Medicare UPINT71084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Ekholm's NPI number?

The NPI number for Douglas Ekholm is 1104983808. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Douglas Ekholm located?

Douglas Ekholm practices at 5417 W Saginaw Hwy Care Of Wallace Opticians, Lansing, MI 48917. The listed phone number is (517) 323-4027.

What is Douglas Ekholm's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Douglas Ekholm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.