Stacia R Waddle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5666/T2580 Issued in OH

Practice address

50 N Plaza Blvd
Chillicothe, OH 45601-1757

Phone

(740) 774-4434

Fax

(740) 774-4061

NPI assigned

Jul 20, 2006

Last updated

Jan 22, 2015By the provider in NPPES

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 OH

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

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.57 of 100Reported as group

Quality

58.53

Promoting interoperability

100

Improvement activities

40

Cost

86.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacia.waddle.p19@direct.360care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Medical Inc

  dba OnSight Health Care

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  Medicare reassignment Care Compare group NPD
• Ohio State University

  dba The Ohio State University College of Optometry

  • Optometrist
  • Columbus, OH
  • NPI 1710900683
  Medicare reassignment Care Compare group NPD
• Eye Specialist Inc

  • Ophthalmology Physician
  • Waverly, OH
  • NPI 1457300683

  Optometrist

  Medicare reassignment NPD
• Eye Specialist Inc

  • Ophthalmology Physician
  • Wilmington, OH
  • NPI 1679522809

  Optometrist

  NPD
• Eye Specialists Inc

  • Ophthalmology Physician
  • Chillicothe, OH
  • NPI 1841249265

  Optometrist

  NPD
• Mobile Medical, Inc.

  dba Onsight Health Care

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Ohio State University

  dba OSU Traumatic Brain Injury Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1730133729
  NPD
• Eye Specialist Inc

  • Ophthalmology Physician
  • Washington Court House, OH
  • NPI 1962451187

  Optometrist

  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1326068685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011757",
            "telephone_number": "740-774-4434",
            "fax_number": "740-774-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011757",
            "telephone_number": "740-774-4434",
            "fax_number": "740-774-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDLE",
        "first_name": "STACIA",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5666/T2580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vichit Viturawong, M.D.,FCCP.
• Vivian Schaefer
• Eric Douglas Vogelsong, R.PH
• Megan Vorhees, RN
• Regina Lynn Wachovec I
• Linda Kay Wade, LPN
• Neely Nelson Wade, M.D.
• Betsy Wafford
• Victoria Rachel Wafford
• Jonathan Austin Wagner, CRNA

• Optometrist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.