Individual provider Active NPI

Grady W Stone Jr.

  • Optician
  • Phenix City, AL
National Provider Identifier
1164934360
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
138616 Issued in AL
Practice address
2011 Highway 280 Byp
Phenix City, AL 36867-3624
Phone
(334) 480-4015
Fax
(334) 448-9918
NPI assigned
Oct 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 138616 AL Primary

Addresses

Primary practice location

2011 Highway 280 Byp
Phenix City, AL 36867-3624

Mailing address

2011 Highway 280 Byp
Phenix City, AL 36867-3624
Phone (334) 480-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
138616ALMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Lab Vision Center, Inc. Single Specialty Current Accepting new patients
Rivertown Capital Inc Single Specialty PastSince Mar 5, 2023 Accepting new patients
GW Stone Capital LLC Single Specialty Past Accepting new patients

Locations

2011 Highway 280 Byp
Phenix City, AL 36867
Phone (334) 480-4015

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1164934360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 HIGHWAY 280 BYP",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673624",
            "telephone_number": "334-480-4015",
            "fax_number": "334-448-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 HIGHWAY 280 BYP",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673624",
            "telephone_number": "334-480-4015",
            "fax_number": "334-448-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "GRADY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": "138616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.