Provider Demographics
NPI:1770516403
Name:SESSIONS, STANTON JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:STANTON
Middle Name:JAMES
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14841 179TH AVE SE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1127
Mailing Address - Country:US
Mailing Address - Phone:360-794-2020
Mailing Address - Fax:360-794-7631
Practice Address - Street 1:14841 179TH AVE SE
Practice Address - Street 2:SUITE 110
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1127
Practice Address - Country:US
Practice Address - Phone:360-794-2020
Practice Address - Fax:360-794-7631
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3348 TX152W00000X
UT368927-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA156626OtherWA L&I NUMBER
WA2023349Medicaid
WAMS1175973OtherDEA NUMBER
WAU66422Medicare UPIN
WA2023349Medicaid