Individual provider Active NPI

Bailey Joshua Stotler, OD

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1154138725
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6602 Issued in FL
Practice address
3205 Clark Butler Blvd Ste 30
Gainesville, FL 32608-2436
Phone
(352) 335-1232
NPI assigned
Dec 16, 2024
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6602 FL Primary

Addresses

Primary practice location

3205 Clark Butler Blvd Ste 30
Gainesville, FL 32608-2436

Mailing address

3205 Clark Butler Blvd
Gainesville, FL 32608-2435
Phone (352) 335-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260513002710 FL Practitioner - Optometry 9436628088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Hedges Eye Care PAGroup PAC ID 9830519750, 4 clinicians

Practice addresses (Care Compare)

14128 W Newberry Rd
Suite 40
Newberry, FL 32669-3820
Phone (954) 895-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6602FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedges Eye Care, PA Optometrist CurrentSince May 8, 2026 Accepting new patients

Locations

3205 Clark Butler Blvd
Ste 30
Gainesville, FL 32608
Phone (352) 335-1232

14128 W Newberry Rd
Ste 40
Newberry, FL 32669
Phone (352) 309-2021

Organizations & group practices 1

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1154138725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CLARK BUTLER BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082435",
            "telephone_number": "352-335-1232",
            "fax_number": "352-335-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CLARK BUTLER BLVD STE 30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082436",
            "telephone_number": "352-335-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTLER",
        "first_name": "BAILEY",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.