Individual provider Active NPI

Whitney Stock, OD

  • Optometrist
  • Willmar, MN
National Provider Identifier
1073004289
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3557 Issued in MN
Practice address
1801 19TH Ave SW
Willmar, MN 56201-4946
Phone
(320) 235-2020
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3557 MN Primary

Addresses

Primary practice location

1801 19TH Ave SW
Willmar, MN 56201-4946

Mailing address

13900 Northdale Blvd
Rogers, MN 55374-9627
Phone (763) 428-3757

Other practice location 1

115 Washburne Ave
Paynesville, MN 56362-1640
Phone (320) 243-2020

Other practice location 2

517 N Sibley Ave
Litchfield, MN 55355-1754
Phone (320) 593-2020

Other practice location 3

61 Main St S
New London, MN 56273-5005
Phone (320) 354-2020

Other practice location 4

1380 E Bridge St Ste B
Redwood Falls, MN 56283-1904
Phone (507) 357-2020

Other practice location 5

1805 Minnesota Ave
Benson, MN 56215-1778
Phone (320) 842-4173

Other practice location 6

1815 W Lincoln Ave
Olivia, MN 56277-1271
Phone (320) 523-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180709000001 MN Practitioner - Optometry 8921354820 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Laser Eye Center, LLC Optometrist Current Accepting new patients
Fischer Laser Eye Center LLC Optometrist Current Accepting new patients
Fischer Laser Eye Center, LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Fischer Laser Eye Center, LLC Current Accepting new patients
D. Stanton Enterprises, LLC Optometrist CurrentSince Nov 2, 2020 Accepting new patients
Fischer Laser Eye Center LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

517 N Sibley Ave
Litchfield, MN 55355
Phone (320) 593-2020

61 Main St S
New London, MN 56273
Phone (320) 354-2020

1815 W Lincoln Ave
Olivia, MN 56277
Phone (320) 523-2020

115 Washburne Ave
Paynesville, MN 56362
Phone (320) 243-2020

1380 E Bridge St
Ste B
Redwood Falls, MN 56283
Phone (507) 357-2020

13900 Northdale Blvd
Rogers, MN 55374
Phone (763) 428-3757

1 Central Ave W
Ste 104
Saint Michael, MN 55376
Phone (763) 493-3937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1073004289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 NORTHDALE BLVD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749627",
            "telephone_number": "763-428-3757",
            "fax_number": "763-428-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-235-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Washburne Ave",
            "address_purpose": "LOCATION",
            "city": "Paynesville",
            "state": "MN",
            "postal_code": "563621640",
            "country_code": "US",
            "telephone_number": "320-243-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Sibley Ave",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "MN",
            "postal_code": "553551754",
            "country_code": "US",
            "telephone_number": "320-593-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Main St S",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "MN",
            "postal_code": "562735005",
            "country_code": "US",
            "telephone_number": "320-354-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E Bridge St Ste B",
            "address_purpose": "LOCATION",
            "city": "Redwood Falls",
            "state": "MN",
            "postal_code": "562831904",
            "country_code": "US",
            "telephone_number": "507-357-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Minnesota Ave",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "MN",
            "postal_code": "562151778",
            "country_code": "US",
            "telephone_number": "320-842-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Olivia",
            "state": "MN",
            "postal_code": "562771271",
            "country_code": "US",
            "telephone_number": "320-523-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.