Stacey E. Simms, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001396 Issued in VA

Practice address

12110 Sunset Hills Rd
Suite C-50
Reston, VA 20190-5852

Phone

(703) 834-9777

Fax

(703) 834-8187

NPI assigned

Feb 20, 2006

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

Medicare fee-for-service enrollment

Enrolled in DC

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, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.simms@uprisedirect.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.

• Kathleen Brady Moore, OD

  • Optometrist
  • Centreville, VA
  • NPI 1275521486

  DC

  Medicare reassignment
• Kathleen B. Moore, OD

  • Optometrist
  • Centreville, VA
  • NPI 1144982315
  NPD

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1326013863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "STE 110",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212460",
            "telephone_number": "703-830-2020",
            "fax_number": "703-830-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 SUNSET HILLS RD",
            "address_2": "SUITE C-50",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905852",
            "telephone_number": "703-834-9777",
            "fax_number": "703-834-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "STACEY",
        "middle_name": "E.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K. Sigal, M.D.
• Mary Rhea Silva, LPC
• Silver Lining Assistance, Inc.
• Chiara Simeone-Difrancesco, PH.D.
• Angel A Simmons
• Blair Katherine Simonetti, PA
• Dallas A Simons, PT, SCS, ATC
• Teresa C Simonson, PH.D.
• Suzanne K Simpkins, PHARMD
• Thomas Miller Simpson, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.