Active NPI
Stacy Maier Noyes, OD
- Optometrist
- Jenison, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003950
- Practice address
- 381 Baldwin St
Jenison, MI 49428-6909 - Phone
- (616) 457-4443
- Fax
- (616) 457-4715
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003950 | MI | Primary |
Addresses
Primary practice location
381 Baldwin St
Jenison, MI 49428-6909
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
381 Baldwin St
Jenison, MI 49428-6909
Phone (616) 457-4443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
Locations
6143 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 554-7775
803 W State St
Hastings, MI 49058
Phone (269) 945-9724
1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828
800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890
381 Baldwin St
Ste A
Jenison, MI 49428
Phone (616) 457-4443
381 Baldwin St
Jenison, MI 49428
Phone (616) 457-4443
5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627
5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631
1281 M 89
Plainwell, MI 49080
Phone (269) 684-1071
3576 Alpine Ave NW
Walker, MI 49544
Phone (616) 784-4999
1717 28th St SW
Wyoming, MI 49519
Phone (616) 531-4370
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 3
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.
-
- Optometrist
- Shelby Township, MI
- NPI 1639723596
-
- Optometrist
- Clarkston, MI
- NPI 1215753553
-
- Optometrist
- Jenison, MI
- NPI 1730764234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1326064239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 BALDWIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494286909",
"telephone_number": "616-457-4443",
"fax_number": "616-457-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYES",
"first_name": "STACY",
"middle_name": "MAIER",
"name_prefix": "Ms.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.