Louis J Stanley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WV859OD Issued in WV

Practice address

306 Southridge Blvd
South Charleston, WV 25309-9434

Phone

(304) 744-4017

NPI assigned

May 14, 2007

Last updated

Mar 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Doc Inc

  • Optometrist
  • Nitro, WV
  • NPI 1962455261
  NPD Authorized official
• Provision LLC

  • Optometrist
  • South Charleston, WV
  • NPI 1609312537
  NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362268800000",
    "number": "1053526855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 THOMAS CIR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141623",
            "telephone_number": "304-344-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SOUTHRIDGE BLVD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099434",
            "telephone_number": "304-744-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV859OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0668717",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette St. John
• Lara St. John
• Shed Stacy
• Tabitha Renee Stacy
• Katlin Stalnaker
• Mindy Sue Stanley, LPC
• Trevor Stanley, NP
• Vanessa Stanley
• Frosti Annamay Stapleton
• Candace Starcher

• Optometrist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.