Individual provider Active NPI

Stacy Louise Stutler, OD

  • Optometrist
  • Westerville, OH
National Provider Identifier
1073512562
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5509 Issued in OH
Practice address
185 S State St
Westerville, OH 43081-2232
Phone
(614) 898-9989
Fax
(614) 898-3054
NPI assigned
Jul 18, 2005
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5509 OH Primary

Addresses

Primary practice location

185 S State St
Westerville, OH 43081-2232

Mailing address

185 S State St
Westerville, OH 43081-2232
Phone (614) 898-9989

Other identifiers 1

IdentifierTypeStateIssuer
2508156MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040917000555 OH Practitioner - Optometry 9537137617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Visioncare, LLCGroup PAC ID 7911961370, 13 clinicians

Practice addresses (Care Compare)

185 S State St
Westerville, OH 43081-2232
Phone (614) 898-9989

937 Polaris Woods Blvd
Suite B
Westerville, OH 43082-8076
Phone (614) 898-9989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Visioncare LLC Optometrist CurrentSince Jan 3, 2008 Accepting new patients
Professional Visioncare LLC Optometrist CurrentSince Jan 3, 2008 Accepting new patients
Advanced Vision Care Doctors, LLC Past Accepting new patients
Children's Eye Care Center of Northwest Ohio, Inc. Past Accepting new patients
Professional Visioncare LLC Optometrist Past Accepting new patients
Professional Visioncare LLC Optometrist Past Accepting new patients

Locations

39 S Main St
Johnstown, OH 43031
Phone (614) 898-9989

703 W Coshocton St
Johnstown, OH 43031
Phone (740) 817-9200

7100 Graphics Way
Ste 3200
Lewis Center, OH 43035
Phone (614) 898-9989

185 S State St
Westerville, OH 43081
Phone (614) 898-9989

937 Polaris Woods Blvd
Ste B
Westerville, OH 43082
Phone (614) 898-5285

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1073512562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-898-9989",
            "fax_number": "614-898-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-898-9989",
            "fax_number": "614-898-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTLER",
        "first_name": "STACY",
        "middle_name": "LOUISE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2508156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.