Anna Faye Stanley OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1476DT Issued in KY

Legal business name

ANNA FAYE STANLEY OD PC

Practice address

120 Sam Walton Dr
Vision Center
Russellville, KY 42276-9311

Phone

(270) 726-8283

NPI assigned

Aug 9, 2007

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Faye Stanley, O.D.NPI 1164402939

Title

Owner

Phone

(270) 726-8283

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Faye Stanley, O.D.

  • Optometrist
  • Russellville, KY
  • NPI 1164402939
  Authorized official Same address or phone

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1114118585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BROOKHAVEN AVE",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761020",
            "telephone_number": "270-776-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SAM WALTON DR",
            "address_2": "VISION CENTER",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769311",
            "telephone_number": "270-726-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA FAYE STANLEY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-726-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1476DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8467",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77340438",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Woman's Place
• Acsr, Inc. (Active Day of Russellville)
• Adam Ellis, MD, PLLC
• Muhammad Altaf Ahmed, MD
• Robert Ellis Allison, DMD
• Holly Ashford, PHARM.D.
• Amanda Baker
• Brandie M Baker, MSCCCSLP
• Hayley Baldwin
• Tracey Lynn Barker, APN

• Optometrist in Russellville, KY
• Providers in Russellville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.