Stephanie Michalko

Primary specialty

OptometristTaxonomy code 152W00000X

License

60879413 Issued in WA

Practice address

11800 NE 128TH St Ste 110
Kirkland, WA 98034

Phone

(425) 899-1555

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballard Eye Clinic PLLCGroup PAC ID 5597177188, 5 clinicians

Eric Bergstrom OD, PLLCGroup PAC ID 0941190417, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ballard Eye Clinic PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1083219752
  Medicare reassignment Care Compare group NPD
• Eric Bergstrom OD, PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1124289897
  Medicare reassignment Care Compare group NPD
• Northwest Vision Institute, PLLC

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1659441160
  Medicare reassignment NPD
• Northwest Vision Institute, PLLC

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
  • NPI 1609949551
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1629568928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347297",
            "telephone_number": "425-899-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-899-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Fox Grape Rd",
            "address_purpose": "LOCATION",
            "city": "Thorold",
            "state": "Ontario",
            "postal_code": "L2V0B4",
            "country_code": "CA",
            "telephone_number": "857-321-9888",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "MICHALKO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60879413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Meyers, M.D.
• James G. Mhyre, M.D.
• Michael D Eulberg MD
• William J Michael Jr., APRN
• Katherine Kumiko Michalak
• Dakotah Michel
• Ramanda Michel, L.M.P
• Michitsuna Katafuchi, PLLC
• Aileen Ann Mickey, MD
• Sarah Virginia Miles, PA-C

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.