Organization Active NPI

Monroe Vision Clinic, Inc

  • Optometrist
  • Monroe, WA
National Provider Identifier
1841479300
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3348TX Issued in WA
Legal business name
MONROE VISION CLINIC, INC
Practice address
14841 179TH Ave SE
Suite 110
Monroe, WA 98272-1127
Phone
(360) 794-2020
Fax
(360) 794-7631
NPI assigned
Oct 31, 2007
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Dr. Stanton James Sessions, ODNPI 1770516403
Title
Owner
Phone
(360) 794-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3348TX WA Primary

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 practice location 1

1924 Bickford Ave Ste 201
Snohomish, WA 98290-1753
Phone (360) 794-2020

Other identifiers 1

IdentifierTypeStateIssuer
DA9374OtherWAPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324001639 WA Part B Supplier - Clinic/Group Practice 5890686083 Receives reassigned benefits from 6 practitioners
Practice locations: Monroe, WA; Snohomish, WA
O20100930004044 WA DME Supplier - Physician - Optometrist 5890686083 Practice locations: Monroe, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Monroe Vision Clinic Inc14841 179TH Ave SE, Monroe, WA 98272-1127(360) 794-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 22, 2002

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1841479300",
    "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": [
        {
            "address_1": "1924 Bickford Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982901753",
            "country_code": "US",
            "telephone_number": "360-794-2020",
            "fax_number": "360-794-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONROE VISION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "SESSIONS",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-794-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3348TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DA9374",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.