Dr Lynette M Sundholm, OD - Medicare Optometrist in Everett, WA

Dr Lynette M Sundholm, OD is a medicare enrolled "Optometrist" provider in Everett, Washington. She went to Illinois College Of Optometry At Chicago and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Darran Kim Od Pllc and her current practice location is 10101 19th Ave Se Ste B, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 338-5400.

Dr Lynette M Sundholm is licensed to practice in Washington (license number OD00001681) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558426601.

Contact Information

Dr Lynette M Sundholm, OD
10101 19th Ave Se Ste B,
Everett, WA 98208-4255
(425) 338-5400
(425) 338-5402

Map and Direction




Healthcare Provider's Profile

Full NameDr Lynette M Sundholm
GenderFemale
SpecialityOptometry
Experience39 Years
Location10101 19th Ave Se Ste B, Everett, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lynette M Sundholm attended and graduated from Illinois College Of Optometry At Chicago in 1985
  NPI Data:
  • NPI Number: 1558426601
  • Provider Enumeration Date: 12/27/2006
  • Last Update Date: 11/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2365435732
  • Enrollment ID: I20040413001665

Medical Identifiers

Medical identifiers for Dr Lynette M Sundholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558426601NPI-NPPES
1639111073OtherWAGROUP NPI
2029718MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OD00001681 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Darran Kim Od Pllc65072105723

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lynette M Sundholm allows following entities to bill medicare on her behalf.
Provider NameLm Sundholm Inc Ps
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639111073
PECOS PAC ID: 1456344829
Enrollment ID: O20040403000316
Provider NameDarran Kim Od Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033891304
PECOS PAC ID: 6507210572
Enrollment ID: O20230925001747

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 Lynette M Sundholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lynette M Sundholm, OD
10101 19th Ave Se Ste B,
Everett, WA 98208-4255

Ph: (425) 338-5400
Dr Lynette M Sundholm, OD
10101 19th Ave Se Ste B,
Everett, WA 98208-4255

Ph: (425) 338-5400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.