Individual provider Active NPI

Stephanie Nicole Stamoolis, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1699054007
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60231987 Issued in WA
Practice address
10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451
Phone
(206) 528-6000
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60231987 WA Primary

Addresses

Primary practice location

10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451

Mailing address

PO Box 6989 MSC 18913
Portland, OR 97228-6989
Phone (206) 858-7000

Other names 1

  • Stephanie Nicole Burns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60231987WAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1699054007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6989 MSC 18913",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286989",
            "telephone_number": "206-858-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 370",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-528-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMOOLIS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60231987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BURNS",
            "middle_name": "NICOLE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.