Stacey V Wilmot-Bray, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001773 Issued in VA

Practice address

13995 US Highway 29
Chatham, VA 24531-5278

Phone

(434) 432-9752

NPI assigned

Jun 29, 2008

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

• Stacey V. Wilmot Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Mark Lynn OD & Associates, PC

  • Optometrist
  • Lithonia, GA
  • NPI 1417055203
  Medicare reassignment NPD
• The Eyecare Place LLC

  • Optometrist
  • McDonough, GA
  • NPI 1861871725
  Medicare reassignment NPD
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• Mark Lynn O.D. & Associates, PC

  • Eyewear Supplier
  • Savannah, GA
  • NPI 1518375500
  NPD
• Lake Dow Physical Therapy, Inc.

  • Physical Therapist
  • McDonough, GA
  • NPI 1164690780
  NPD (past)

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1235391459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13995 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315278",
            "telephone_number": "434-432-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT-BRAY",
        "first_name": "STACEY",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "WILMOT",
            "middle_name": "V.",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West Piedmont Healthcare Group, Inc.
• Jaclyn Marie Westfall, ATC
• Whole Family Chiropractic & Wellness
• Kathryn Williams
• Roger I Williams
• Wissota Dialysis LLC
• Albert D Wong, PT
• Woodfins Pharmacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.