Individual provider Active NPI

Patricia Stamper, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1336137553
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1359 Issued in AZ
Practice address
7130 W Chandler Blvd
Suite 19
Chandler, AZ 85226-3241
Phone
(480) 961-8999
Fax
(480) 961-5009
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1359 AZ Primary

Addresses

Primary practice location

7130 W Chandler Blvd
Suite 19
Chandler, AZ 85226-3241

Mailing address

7130 W Chandler Blvd
Suite 19
Chandler, AZ 85226-3241
Phone (480) 961-8999

Other identifiers 1

IdentifierTypeStateIssuer
Z92894OtherAZPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040922000873 AZ Practitioner - Optometry 0547238057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1359AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Edge Eye Center PLC Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Ada Vision Center P.a. Optometrist Past Accepting new patients
John H McDougall OD Arizona PC Optometrist PastSince Aug 1, 2018 Accepting new patients

Locations

7130 W Chandler Blvd
Ste 19
Chandler, AZ 85226
Phone (480) 753-5999

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1336137553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD",
            "address_2": "SUITE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999",
            "fax_number": "480-961-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD",
            "address_2": "SUITE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999",
            "fax_number": "480-961-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z92894",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.