Active NPI 1558426601 Individual Practitioner Female Practitioner

Dr. Lynette M Sundholm , OD

Optometrist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Lynette Sundholm, OD is a registered healthcare professional specializing in Optometrist in Everett, WA. Practice services are available at 10101 19TH AVE SE STE B under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10101 19th Ave Se Ste B

Everett, WA 982084255

Telephone 4253385400

Fax 4253385402

Associated Practice Facility / Clinic

🏢 Darran Kim O.d. Pllc Facility NPI 1033891304

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Everett, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.4 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

43 Specialists

Practicing in Everett, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	39	$211.00	$90.69
92083 Exam of visual field with extended testing	22	13	$200.00	$63.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	50	$211.00	$89.19
92134 Imaging of retina	15	12	$178.00	$38.25
92083 Exam of visual field with extended testing	15	14	$200.00	$59.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	75	$211.42	$91.04
92083 Exam of visual field with extended testing	40	27	$200.00	$63.19
92133 Imaging of optic nerve	29	22	$178.00	$34.10
92134 Imaging of retina	28	21	$175.21	$38.82
92145 Measurement of corneal pressure	26	18	$44.00	$11.38
92284 Evaluation of eye adaptation to light and dark with interpretation and report	14	11	$98.00	$58.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	28	$210.35	$92.18
92083 Exam of visual field with extended testing	24	16	$199.00	$64.67
92014 Established patient complete exam of visual system	20	20	$159.90	$129.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$278.42	$130.78
92250 Photography of the retina	15	12	$198.00	$36.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	29	$190.00	$75.87
92083 Exam of visual field with extended testing	20	15	$180.00	$64.39
92250 Photography of the retina	17	15	$180.00	$41.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$252.00	$110.36
92014 Established patient complete exam of visual system	16	16	$153.38	$128.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	33	$180.00	$74.52
92014 Established patient complete exam of visual system	35	34	$139.00	$127.36
92083 Exam of visual field with extended testing	27	18	$180.00	$64.85
92250 Photography of the retina	22	19	$180.00	$46.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$242.00	$109.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	46	$180.00	$71.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$242.00	$105.35
92083 Exam of visual field with extended testing	33	21	$180.00	$63.33
92250 Photography of the retina	22	22	$180.00	$50.60
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$158.00	$73.60
92133 Imaging of optic nerve	12	11	$160.00	$34.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	44	$180.00	$70.32
92014 Established patient complete exam of visual system	35	35	$139.00	$119.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$242.00	$103.18
92083 Exam of visual field with extended testing	18	14	$180.00	$57.88
92250 Photography of the retina	13	13	$180.00	$63.78
92004 New patient complete exam of visual system	12	12	$159.00	$143.71

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD00001681

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2029718 (WA)

Commercial Insurance / Payer ID Group Npi

1639111073 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Darran Kim , OD

Optometrist

NPI 1629570908

Doctor of Optometry

Dr. Katy Tan , OD

Optometrist

NPI 1720648611

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 10, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2010

Registered at 10101 19TH AVE SE STE B, EVERETT, WA 982084255 (Tel: 4253385400)

📍

Updated Business Mailing Address November 10, 2010

Registered at 10101 19TH AVE SE STE B, EVERETT, WA 982084255 (Tel: 4253385400)

👤

Provider Name / Credentials Updated November 10, 2010

Recorded as LYNETTE SUNDHOLM, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2010

Optometrist (License #OD00001681 in WA)

🟢

Initial NPI Registration & Enumeration December 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558426601

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 27, 2006

Last Update: November 10, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10101 19th Ave Se Ste B

Everett, WA 982084255

Phone: 4253385400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.