Individual provider Active NPI

Monika Stamberg, OD

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1497499016
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61448812 Issued in WA
Practice address
8700 NE Vancouver Mall Dr Ste 232
Vancouver, WA 98662-6418
Phone
(360) 882-9355
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61448812 WA Primary

Addresses

Primary practice location

8700 NE Vancouver Mall Dr Ste 232
Vancouver, WA 98662-6418

Mailing address

2145 NE 50TH Way
Hillsboro, OR 97124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20230920000158 WA Practitioner - Optometry 6709240070 Reassigns benefits to 1 organization
I20250314002632 OR Practitioner - Optometry 6709240070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myoptic Optometry, LLCGroup PAC ID 4183719701, 6 clinicians

Practice addresses (Care Compare)

3978 N Williams Ave
Portland, OR 97227-1445
Phone (503) 493-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Crystal Edison OD & Associates PLLC Optometrist CurrentSince Aug 14, 2023 Accepting new patients
Lena Barghouti-Afranji & Associates Professional Corp Optometrist CurrentSince Aug 14, 2023 Accepting new patients
Myoptic Optometry, LLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

12 SE 28th Ave
Portland, OR 97214
Phone (503) 282-2020

3978 N Williams Ave
Portland, OR 97227
Phone (503) 493-7070

8700 NE Vancouver Mall Dr
Ste 232
Vancouver, WA 98662
Phone (360) 882-9355

8700 NE Vancouver Mall Dr
Ofc
Vancouver, WA 98662
Phone (360) 882-9360

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1497499016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 NE 50TH WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 NE VANCOUVER MALL DR STE 232",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626418",
            "telephone_number": "360-882-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBERG",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61448812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.