Active NPI
Stacy G Presley, OD
- Optometrist
- Ada, OK
National Provider Identifier
1164432167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2431
- Practice address
- 1433 Arlington St
Ada, OK 74820-2636 - Phone
- (580) 332-5606
- Fax
- (580) 332-3946
- NPI assigned
- Aug 9, 2006
- Last updated
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2431 | OK | Primary |
Addresses
Primary practice location
1433 Arlington St
Ada, OK 74820-2636
Mailing address
1433 Arlington St
Ada, OK 74820-2636
Phone (580) 332-5606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200078050A | Medicaid | OK | |
| 201496058-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1433 Arlington St
Ada, OK 74820-2636
Phone (580) 332-5606
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2431 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacy G Presley OD PLLC | Optometrist | Current | Accepting new patients |
| Dr Charles W Gurley OD PC | Optometrist | Past | Accepting new patients |
Locations
1433 Arlington St
Ada, OK 74820
Phone (580) 332-5606
216 W 12th St
Ada, OK 74820
Phone (580) 332-5606
Interoperability endpoints
- spresley@advancedeye.eyefinity-direct.com
Organizations & group practices 2
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": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1164432167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748202636",
"telephone_number": "580-332-5606",
"fax_number": "580-332-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748202636",
"telephone_number": "580-332-5606",
"fax_number": "580-332-3946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLEY",
"first_name": "STACY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200078050A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "201496058-001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.