Vladimir Stovbyr, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60568332 Issued in WA

Practice address

10024 SE 240TH St
Suite 220
Kent, WA 98031-5124

Phone

(253) 852-5440

Fax

(253) 852-0272

NPI assigned

Oct 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyeco Plus

  • Optometrist
  • Ridgefield, WA
  • NPI 1396577748
  Medicare reassignment NPD Authorized official
• Muckleshoot Indian Tribe

  • Clinic/Center
  • Auburn, WA
  • NPI 1558448175

  TX

  Medicare reassignment NPD
• Scott R Lewis, OD, PLLC

  • Optometrist
  • Camas, WA
  • NPI 1316233968
  NPD
• Kirkland Vision Center, LLC

  • Optometrist
  • Kirkland, WA
  • NPI 1578999215
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1902158249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST",
            "address_2": "SUITE 220",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-852-5440",
            "fax_number": "253-852-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST",
            "address_2": "SUITE 220",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-852-5440",
            "fax_number": "253-852-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVBYR",
        "first_name": "VLADIMIR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60568332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Michelle Stockton
• Pam Stoeffler, RN
• Sara R Stoker, LMP, NCTM
• Henry Duane Stortenbecker, RPH
• Jessica Stott
• Melissa Strauch
• Helen Kelley Strausz, SLP
• Ivy Diane Street
• Jennifer Louise Streit, LMHC
• Isabella Stromme

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.