Active NPI
Patricia Stamper, O.D.
- Optometrist
- Chandler, AZ
National Provider Identifier
1336137553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1359
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z92894 | Other | AZ | PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040922000873 | AZ | Practitioner - Optometry | 0547238057 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1359 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Edge Eye Center PLC | Optometrist | Current | Accepting new patients |
| Ada Vision Center P.a. | Optometrist | Past | Accepting new patients |
| John H McDougall OD Arizona PC | Optometrist | Past | 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.
-
- Optometrist
- Chandler, AZ
- NPI 1043567936
-
- Optometrist
- Fountain Hills, AZ
- NPI 1851882179
-
- Optometrist
- Boise, ID
- NPI 1407869589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.