Stephanie Stanley Moss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2763 Issued in AR

Practice address

3737 W Walnut St
Rogers, AR 72756-1839

Phone

(479) 246-1700

Fax

(479) 631-2629

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Michelle Stanley Former name

Medicare fee-for-service enrollment

Enrolled in TX, AR2 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

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandon Eye Clinic PLLCGroup PAC ID 6002071115, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.75 of 100Reported as group

Quality

99.17

Improvement activities

40

Cost

76.94

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smoss@bhrec.intellechartdirect.net

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.

• Brandon Eye Clinic PLLC

  • Optometrist
  • Springdale, AR
  • NPI 1417067687

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• Boozman-Hof Regional Eye Clinic PA

  • Ophthalmology Physician
  • Rogers, AR
  • NPI 1548234669

  AR, Optometrist

  Medicare reassignment NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment NPD
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Nowata, OK
  • NPI 1891703716
  NPD

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043747595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561839",
            "telephone_number": "479-246-1700",
            "fax_number": "479-631-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561839",
            "telephone_number": "479-246-1700",
            "fax_number": "479-631-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031944",
            "country_code": "US",
            "telephone_number": "479-443-4301 x69721",
            "fax_number": "479-587-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "STEPHANIE",
        "middle_name": "STANLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2955",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STANLEY",
            "middle_name": "MICHELLE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Newton Morter, D.C.
• Sidney C Morton, LAC
• Mosaic Infusion Solutions LLC
• Joseph Brandon Moser
• Katy Moses, PTA
• Morgan Michele Mulford, AU.D.
• Aaron Bradley Mullen, PA-C
• Elizabeth Irene Muller, AU.D.
• Meagan Leigh Mullins, OTRL
• Catherine Munoz

• All providers in Rogers, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.