Active NPI
Stephanie Nicole Stamoolis, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1699054007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60231987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD60231987 | WA | MD | Optometrist |
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.