Stacy G Presley OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2431 Issued in OK

Legal business name

STACY G PRESLEY OD PLLC

Doing business as

Advanced Eye Care Associates

Practice address

1433 Arlington St
Ada, OK 74820-2636

Phone

(580) 332-5606

Fax

(580) 332-3946

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy G Presley, ODNPI 1164432167

Title

Owner

Phone

(580) 332-5606

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Eye Care Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: cgurley@advancedeye.eyefinity-direct.com
• Direct secure messaging: spresley@advancedeye.eyefinity-direct.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy G Presley, OD

  • Optometrist
  • Ada, OK
  • NPI 1164432167
  Medicare reassignment NPD Authorized official
• Charles Wendell Gurley II, O.D.

  • Optometrist
  • Ada, OK
  • NPI 1245240217
  NPD
• Derek Gurley, OD

  • Optometrist
  • Ada, OK
  • NPI 1154994655
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1063542199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-332-5606",
            "fax_number": "580-332-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-332-5606",
            "fax_number": "580-332-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY G PRESLEY OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-332-5606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2431",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "2431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bill Larue Spencer, CRNA
• Elyse Elizabeth Bowen Splichal, DC
• Linda Louise Spooner, APRN
• Krystal Brooke Springfield, RN, CDCES
• Kelly Spychalski, NP
• Lauren Michelle Stafford, ATC
• Kathryn Jade Stallings
• Rebecca Ann Stark
• Sherri Linn Stark, PHARM D
• William Franklin Starns Jr., DC

• Optometrist in Ada, OK
• Providers in Ada, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.