Stephanie R Sipe, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00004012 Issued in WA

Practice address

4503 Ocean Beach Hwy Ste 103
Longview, WA 98632-5055

Phone

(360) 636-6111

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lenore's Optical

  • Optician
  • Longview, WA
  • NPI 1205054103
  NPD (past)
• Medical Vision Center, LTD

  • Optometrist
  • Morton, WA
  • NPI 1861697070
  NPD (past)
• Three Rivers Eye Care, PS

  • Optometrist
  • Kelso, WA
  • NPI 1104094143
  NPD (past)
• Twin City Vision PLLC

  • Point of Service
  • Longview, WA
  • NPI 1891961165
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740225077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24312 NE 142ND AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049412",
            "telephone_number": "503-504-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 OCEAN BEACH HWY STE 103",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986325055",
            "telephone_number": "360-636-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPE",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031748",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWEST BENEFIT NETWORK",
            "identifier": "WA1073SI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J. Simons, M.D.
• Baljinder Singh, MD
• Gurjeet Singh, M.D.
• Manjot Singh, NP STUDENT
• Rajdeep Singh, MD
• Genieve Sisson
• SJS, PLLC (Pacific Urgent Care)
• Andrew Levi Skillett
• Jeff David Skillingstead, MAC
• Emily Skogrand, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.