Dr Douglas Jack Ekholm, OD DOCTOR OF OPTOMET - Optometrist in Lansing, MI

Dr Douglas Jack Ekholm, OD DOCTOR OF OPTOMET is a Optometrist based in Lansing, Michigan. Dr Douglas Jack Ekholm is licensed to practice in Michigan (license number 4901002272) and his current practice location is 5417 W Saginaw Hwy, Care Of Wallace Opticians, Lansing, Michigan. He can be reached at his office (for appointments etc.) via phone at (517) 323-4027.

NPI number for Dr Douglas Jack Ekholm is 1104983808 and his current mailing address is 5417 W Saginaw Hwy, Care Of Wallace Opticians, Lansing, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104983808.

Contact Information

Dr Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
5417 W Saginaw Hwy, Care Of Wallace Opticians,
Lansing, MI 48917
(517) 323-4027
(517) 323-1807



Healthcare Provider's Profile

Full NameDr Douglas Jack Ekholm
GenderMale
SpecialityOptometrist
Location5417 W Saginaw Hwy, Lansing, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104983808
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Douglas Jack Ekholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104983808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901002272 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas Jack Ekholm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
5417 W Saginaw Hwy, Care Of Wallace Opticians,
Lansing, MI 48917

Ph: (517) 323-4027
Dr Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
5417 W Saginaw Hwy, Care Of Wallace Opticians,
Lansing, MI 48917

Ph: (517) 323-4027

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Phone: 517-487-6511    Fax: 517-487-1331
Dr. David Blair Whitney, O.D.
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Phone: 517-485-5566    Fax: 517-485-8934
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Phone: 517-364-5875    Fax: 517-364-5877
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Medicare: Not Enrolled in Medicare
Practice Location: 6001 W Saginaw Hwy, Lansing, MI 48917
Phone: 517-886-2888    

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