Individual provider Active NPI

Stanton James Sessions, O.D.

  • Optometrist
  • Monroe, WA
National Provider Identifier
1770516403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3348 TX Issued in WA
Practice address
14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127
Phone
(360) 794-2020
Fax
(360) 794-7631
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3348 TX WA Primary
Optometrist 152W00000X 368927-9934 UT

Addresses

Primary practice location

14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127

Mailing address

14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127
Phone (360) 794-2020

Other identifiers 2

IdentifierTypeStateIssuer
156626OtherWAWA L&I NUMBER
2023349MedicaidWA

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
I20051228000625 WA Practitioner - Optometry 3375565732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Vision Clinic IncGroup PAC ID 5890686083, 5 clinicians

Practice addresses (Care Compare)

14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127
Phone (360) 794-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
368927-9934UTMDOptometrist
3348 TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision Clinic, Inc Optometrist CurrentSince Apr 22, 2002 Accepting new patients

Locations

14841 179th Ave SE
Ste 110
Monroe, WA 98272
Phone (360) 794-2020

1924 Bickford Ave
Ste 201
Snohomish, WA 98290
Phone (360) 794-2020

Organizations & group practices 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770516403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-794-2020",
            "fax_number": "360-794-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-794-2020",
            "fax_number": "360-794-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSIONS",
        "first_name": "STANTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3348 TX",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "368927-9934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I NUMBER",
            "identifier": "156626",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023349",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.