Individual
DR. CARL NEIL EKMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10217 19TH AVE SE STE 102, EVERETT, WA 98208-4266
(253) 169-4004
(253) 168-8204
Mailing address
10217 19TH AVE SE STE 102, EVERETT, WA 98208-4266
(253) 169-4004
(253) 168-8204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2236
AZ
152W00000X
Optometrist
Primary
60172882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372548
—
AZ
Enumeration date
07/28/2010
Last updated
11/29/2023
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