Benjamin M Stoebner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003094 Issued in WA

Practice address

7315 212TH St SW Ste 205
Edmonds, WA 98026-7610

Phone

(425) 774-2020

Fax

(425) 670-8932

NPI assigned

Dec 20, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Edmonds Eyecare Associates Inc PSGroup PAC ID 6103715370, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Edmonds Eyecare Associates Inc PS

  • Optometrist
  • Edmonds, WA
  • NPI 1558451369
  Medicare reassignment Care Compare group
• Eye Care Specialists Northwest PLLC

  dba The Childrens Eye Doctors, The Family Eye Doctors, Woodlawn Optical

  • Ophthalmology Physician
  • Redmond, WA
  • NPI 1477596252

  Optometrist

  NPD (past)
• Pacific Cataract and Laser Institute, Inc., P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Auburn, WA
  • NPI 1528814647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1144384520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-774-2020",
            "fax_number": "425-670-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-774-2020",
            "fax_number": "425-670-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEBNER",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019057",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven H Swedberg MD PS
• Stevens Foot & Ankle LLP
• Angel Guadalupe Stewart, LMT
• Joshua Curtis Stewart, M.D.
• Sawyer Samuel Stewart
• Isabella Vierra Stokes, MD
• William W Stopoulos, PA-C
• Kennedy Katherine Storey
• Stratagem Educational Consulting, LLC (Seattle Child Psychology)
• Michele Street, PHARM D

• Optometrist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.