Individual provider Active NPI

Michelle M Monkman, O.D.

  • Optometrist
  • Pendleton, OR
National Provider Identifier
1497801708
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2456ATI Issued in OR
Practice address
1100 Southgate Ste 5
Pendleton, OR 97801-3971
Phone
(541) 203-3159
Fax
(541) 203-3150
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2456ATI OR Primary

Addresses

Primary practice location

1100 Southgate Ste 5
Pendleton, OR 97801-3971

Mailing address

1100 Southgate Ste 5
Pendleton, OR 97801-3971
Phone (541) 203-3159

Other identifiers 1

IdentifierTypeStateIssuer
069984MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20111026000478 OR Practitioner - Optometry 5395730055 Reassigns benefits to 3 organizations
I20241112000639 WA Practitioner - Optometry 5395730055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Mountain Eye PLLCGroup PAC ID 8628267085, 3 clinicians
Eastern Oregon Family EyecareGroup PAC ID 8325579196, 3 clinicians

Practice addresses (Care Compare)

1025 2ND Ave
Walla Walla, WA 99362-4116
Phone (509) 540-3937

1070 W Elm Ave
Suite a
Hermiston, OR 97838-2711
Phone (509) 540-3937

1100 Southgate
Suite 5
Pendleton, OR 97801-3971
Phone (541) 203-3159

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
90
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
97.18
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2456ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Pendleton LLC Optometrist CurrentSince Jan 1, 2000 Accepting new patients
Blue Mountain Eye PLLC CurrentSince Nov 1, 2024 Accepting new patients
Eastern Oregon Family Eyecare Optometrist CurrentSince Feb 23, 2024 Accepting new patients
David a Drotzmann OD PC Optometrist Past Accepting new patients

Locations

406 NE 1st St
Enterprise, OR 97828
Phone (541) 426-3413

1060 W Elm Ave
Ste 135
Hermiston, OR 97838
Phone (541) 567-6623

1070 W Elm Ave
#A
Hermiston, OR 97838
Phone (541) 656-2211

1100 Southgate
Ste 5
Pendleton, OR 97801
Phone (541) 203-3159

1815 SW Emigrant Ave
Pendleton, OR 97801
Phone (541) 276-3653

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

Organizations & group practices 4

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1497801708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE STE 5",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013971",
            "telephone_number": "541-203-3159",
            "fax_number": "541-203-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE STE 5",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013971",
            "telephone_number": "541-203-3159",
            "fax_number": "541-203-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKMAN",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2456ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069984",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.