Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Jack Ekholm, ODDOCTOROFOPTOMET

Individual provider Optometrist · NPI 1104983808

Dr. Douglas Jack Ekholm, ODDOCTOROFOPTOMET is an Optometrist in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

5417 W Saginaw Hwy Care Of Wallace Opticians
Lansing, MI 48917
Phone: (517) 323-4027
Fax: (517) 323-1807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901002272 (MI)

Record details

NPI number1104983808
Entity typeIndividual (Type 1)
GenderMale
Credentials ODDOCTOROFOPTOMET
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

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