Stacy Vo OD Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12492T Issued in CA

Legal business name

STACY VO OD INC

Practice address

1550 Barton Rd
Redlands, CA 92373-5456

Phone

(909) 748-0400

Fax

(909) 748-0446

NPI assigned

Jan 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stacy KT Vo, O.DNPI 1053366393

Title

Optometrist

Phone

(909) 748-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Kimtho Vo, O.D

  • Optometrist
  • Redlands, CA
  • NPI 1053366393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1265618300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735456",
            "telephone_number": "909-748-0400",
            "fax_number": "909-748-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735456",
            "telephone_number": "909-748-0400",
            "fax_number": "909-748-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY VO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "KT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "909-748-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "12492T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Paul Springsted, MS, LMFT
• Vanessa Jacqueline St Clair, FNP
• St Mariam Hospice Care Inc
• Florence St Peter, RDH
• Desmond Graham Stacey, PHD
• Ruth A. Stacy, PSY.D.
• Lori Dawn Staff, LMFT
• Jocelyne Aho Stancic
• Shantela Stanfield, FNP-BC
• Khushal Alam Stanisai, MD

• Health Maintenance Organization in Redlands, CA
• Providers in Redlands, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.