Individual provider Active NPI

Morgan Elizabeth Sammons, OD

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1619602133
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61316680 Issued in WA
Practice address
314 E McLoughlin Blvd
Vancouver, WA 98663-3387
Phone
(360) 694-8303
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61316680 WA Primary

Addresses

Primary practice location

314 E McLoughlin Blvd
Vancouver, WA 98663-3387

Mailing address

314 E McLoughlin Blvd
Vancouver, WA 98663-3387

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
I20221012003992 WA Practitioner - Optometry 5991171100 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
Vancouver Contact Lens and Vision Clinic IncGroup PAC ID 2668369935, 6 clinicians

Practice addresses (Care Compare)

314 E McLoughlin Blvd
Vancouver, WA 98663-3371
Phone (360) 694-8303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61316680WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist CurrentSince Jul 20, 2022 Accepting new patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist CurrentSince Jul 20, 2022 Accepting new patients

Locations

329 NE 6th Ave
Camas, WA 98607
Phone (360) 834-4802

314 E McLoughlin Blvd
Vancouver, WA 98663
Phone (360) 694-8303

Organizations & group practices 2

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1619602133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MCLOUGHLIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633387",
            "telephone_number": "360-694-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61316680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.