Joshua Allan Stommes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60842476 Issued in WA

Practice address

800 E Atwater Ave
Bloomington, IN 47405

Phone

(812) 855-4447

NPI assigned

Feb 9, 2018

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, ID2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hayden Vision Source PLLCGroup PAC ID 6800282427, 5 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 and National Provider Directory roles.

• Hayden Vision Source PLLC

  • Optometrist
  • Hayden, ID
  • NPI 1548999840
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1295234763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15727 E BROADWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379544",
            "telephone_number": "509-926-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47405",
            "telephone_number": "812-855-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMMES",
        "first_name": "JOSHUA",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60842476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamison Stites
• Drew Stocksdale, CMT
• Nancy Joyce Stockton, PH.D.
• Amy Lynn Stolberg, M.A., CCC-SLP
• Susan D Stolz, NP
• Stone Belt Arc, Inc
• Stone Belt Arc, Inc.
• Stone Belt Arc, Inc.
• Stone Belt Arc, Inc.
• Stone Belt Arc, Inc.

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.