Jessica H Stacy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002267 Issued in VA

Practice address

9440 Iron Bridge Rd
Chesterfield, VA 23832-6601

Phone

(804) 748-4877

Fax

(804) 796-9168

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica H Hildebrand Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesterfield Optometric Center, PCGroup PAC ID 9931097615, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drstacy@vs-chesterfield-oc.direct.kno2fy.com

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.

• Chesterfield Optometric Center, PC

  • Optometrist
  • Chesterfield, VA
  • NPI 1477698819
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1205277498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 EGGLESTON FALLS RD",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241484603",
            "telephone_number": "901-395-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 IRON BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326601",
            "telephone_number": "804-748-4877",
            "fax_number": "804-796-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "JESSICA",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HILDEBRAND",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kathleen B Sproul, L.C.S.W.
• Margaret J St.Clair, MS, LPC
• Briana Stancil
• Taresa Herndon Steele, LPC
• Parke Sterling, LPC
• Mark Stevens
• Sierra Rickie Stevens, LPC

• Optometrist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.

Verify at the official NPI Registry.