Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Douglas Jack Ekholm, OD DOCTOR OF OPTOMET

Optometrist in Lansing, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104983808

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Registry record

Entity type Individual (Type 1)

Name Dr. Douglas Jack Ekholm

Credential OD DOCTOR OF OPTOMET

Sex Male

Practice address 5417 W Saginaw Hwy, Care of Wallace Opticians, Lansing, MI, 48917

Phone (517) 323-4027

Fax (517) 323-1807

Enumeration date Jan 2, 2007

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 4901002272 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Douglas Ekholm's NPI record?

Cross-check NPI 1104983808 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104983808 active?

Yes, as of the latest NPPES snapshot, NPI 1104983808 is active (record last updated 2007-07-08).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.