Individual provider Active NPI

Jeanette Marie Stromme, O.D.

  • Optometrist
  • Yakima, WA
National Provider Identifier
1942325360
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in WA
Practice address
111 University Pkwy Ste 104
Yakima, WA 98901-1448
Phone
(509) 966-0675
Fax
(509) 853-2013
NPI assigned
Mar 21, 2007
Last updated
Sep 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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

Specialties & licenses 1

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

Addresses

Primary practice location

111 University Pkwy Ste 104
Yakima, WA 98901-1448

Mailing address

111 University Pkwy
Suite 104
Yakima, WA 98901-1471
Phone (509) 966-0675

Other identifiers 1

IdentifierTypeStateIssuer
2030971MedicaidWA

Other names 1

  • Ms. Jeanette M Stearns Former name

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
I20050815000980 WA Practitioner - Optometry 1355371881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152W00000XWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Vision Partners, Inc Optometrist CurrentSince Apr 3, 2023 Accepting new patients
Apple Valley Optometry PC Optometrist PastSince Aug 1, 2020 Accepting new patients
Children's Brain Academy PastSince May 7, 2023 Accepting new patients
Abc Children's Eye Specialists PC Past Accepting new patients
Apple Valley Eye Center, Inc Optometrist PastSince Jan 1, 1998 Accepting new patients

Locations

26 W H St
Ste A
Deer Park, WA 99006
Phone (509) 276-6732

26 W H St
Deer Park, WA 99006
Phone (509) 276-6932

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1942325360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY",
            "address_2": "SUITE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011471",
            "telephone_number": "509-966-0675",
            "fax_number": "509-853-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY STE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011448",
            "telephone_number": "509-966-0675",
            "fax_number": "509-853-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMME",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030971",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "STEARNS",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.