Individual provider Active NPI

Stacy Michele Bell-Simmons, OD

  • Optometrist
  • Saint Joseph, MO
National Provider Identifier
1154379535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002000795 Issued in MO
Practice address
2525 N Belt Hwy
The Spec Shoppe
St Joseph, MO 64506
Phone
(816) 364-0450
NPI assigned
May 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002000795 MO Primary

Addresses

Primary practice location

2525 N Belt Hwy
The Spec Shoppe
St Joseph, MO 64506

Mailing address

6095 N Nevada Ave
Parkville, MO 64152
Phone (816) 891-8614

Other names 1

  • Dr. Stacy Michele Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070309000202 MO Practitioner - Optometry 0547363616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

2925 N Belt Hwy
The Spec Shoppe
Saint Joseph, MO 64506-2006
Phone (816) 364-0450

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry, Inc Optometrist CurrentSince Jan 16, 2018 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Jan 16, 2018 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Locations

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

2925 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 364-0450

3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313

2404 Taylor Rd
Wildwood, MO 63040
Phone (636) 458-8787

Interoperability endpoints

  • Direct secure messaging: stacysimmons@direct.eyecare-partners.com

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154379535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 N NEVADA AVE",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "64152",
            "telephone_number": "816-891-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N BELT HWY",
            "address_2": "THE SPEC SHOPPE",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-364-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL-SIMMONS",
        "first_name": "STACY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BELL",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.