Individual provider Active NPI

David K Stonnell, OD.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1851476709
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001938 Issued in WA
Practice address
4540 Cordata Pkwy 103
Bellingham, WA 98226-8059
Phone
(360) 676-8663
Fax
(360) 676-8682
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001938 WA Primary

Addresses

Primary practice location

4540 Cordata Pkwy 103
Bellingham, WA 98226-8059

Mailing address

4540 Cordata Pkwy 103
Bellingham, WA 98226-4911
Phone (360) 676-8663

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
I20041129000239 WA Practitioner - Optometry 6204891559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Eye Physicians PSGroup PAC ID 9638067234, 5 clinicians

Practice addresses (Care Compare)

4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Phone (360) 676-8663

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001938WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Eye Physicians PS Optometrist CurrentSince Feb 5, 2001 Accepting new patients

Locations

4540 Cordata Pkwy
Ste 103
Bellingham, WA 98226
Phone (360) 676-8663

Interoperability endpoints

  • Direct secure messaging: dstonnell@bep.intellechartdirect.net

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1851476709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264911",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONNELL",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "OD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.