Individual provider Active NPI

Jeanine N Stolp, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1538345699
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60028246 Issued in WA
Practice address
9671 N Nevada St Ste 210
Spokane, WA 99218-1146
Phone
(509) 468-2020
Fax
(509) 468-3272
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60028246 WA Primary

Addresses

Primary practice location

9671 N Nevada St Ste 210
Spokane, WA 99218-1146

Mailing address

9671 N Nevada St Ste 210
Spokane, WA 99218-1146
Phone (509) 468-2020

Other names 1

  • Jeanine N Morasch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20081002000372 WA Practitioner - Optometry 4587743562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants, P.S.Group PAC ID 8628143492, 6 clinicians

Practice addresses (Care Compare)

9911 N Nevada St
Suite B
Spokane, WA 99218-1298
Phone (509) 484-5710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60028246WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grant W. Hardan OD PLLC CurrentSince Oct 3, 2018 Accepting new patients
Eye Consultants, P.S. CurrentSince Jul 1, 2025 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

9671 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 468-2020

9911 N Nevada St
Ste B
Spokane, WA 99218
Phone (509) 484-5710

15106 E Sprague Ave
Spokane Valley, WA 99037
Phone (509) 484-5710

Interoperability endpoints

  • Direct secure messaging: jeanines@eyeconsultantsnw.emadirect.md

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1538345699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 N NEVADA ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181146",
            "telephone_number": "509-468-2020",
            "fax_number": "509-468-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 N NEVADA ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181146",
            "telephone_number": "509-468-2020",
            "fax_number": "509-468-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLP",
        "first_name": "JEANINE",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60028246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "MORASCH",
            "middle_name": "N",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.