Individual provider Active NPI

Stacie Eskew, O.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1174658132
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
964 Issued in AZ
Practice address
3921 E Baseline Rd Ste 8
Gilbert, AZ 85234-2737
Phone
(480) 892-6560
Fax
(480) 892-9812
NPI assigned
Feb 22, 2007
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 964 AZ Primary

Addresses

Primary practice location

3921 E Baseline Rd Ste 8
Gilbert, AZ 85234-2737

Mailing address

3921 E Baseline Rd Ste 8
Gilbert, AZ 85234-2737
Phone (480) 892-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070911000000 AZ Practitioner - Optometry 3274626064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care Clinic P.C.Group PAC ID 6608868229, 2 clinicians

Practice addresses (Care Compare)

1780 E Boston St
Suite 101
Gilbert, AZ 85295-6246
Phone (480) 813-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
964AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Clinic P.C. Optometrist CurrentSince Oct 17, 2011 Accepting new patients
MVP.Vision Optometrist CurrentSince Dec 29, 2019 Accepting new patients
Family Optometry, P.C. Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients
John H McDougall OD Arizona PC Optometrist PastSince Nov 20, 2020 Accepting new patients

Locations

1780 E Boston St
Gilbert, AZ 85295

1780 E Boston St
Ste 101
Gilbert, AZ 85295
Phone (480) 813-7050

Organizations & group practices 6

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1174658132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD STE 8",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342737",
            "telephone_number": "480-892-6560",
            "fax_number": "480-892-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD STE 8",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342737",
            "telephone_number": "480-892-6560",
            "fax_number": "480-892-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKEW",
        "first_name": "STACIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.