Individual provider Active NPI

Stacey R Jones, O.D.

  • Optometrist
  • Hays, KS
National Provider Identifier
1356337901
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1657 Issued in KS
Practice address
2203 Canterbury Dr
Hays, KS 67601-2341
Phone
(785) 625-3937
Fax
(785) 625-7490
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1657 KS Primary

Addresses

Primary practice location

2203 Canterbury Dr
Hays, KS 67601-2341

Mailing address

2203 Canterbury Dr
Hays, KS 67601-2341
Phone (785) 625-3937

Other identifiers 2

IdentifierTypeStateIssuer
P00165463OtherRAILROAD MEDICARE
100642830AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20100414000781 KS Practitioner - Optometry 2567599087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Main St
Hays, KS 67601-3658
Phone (785) 621-4242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1657KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jubilee Eye Care, LLC Optometrist CurrentSince Jun 21, 2022 Accepting new patients
Eyesmile Vision LLC Optometrist CurrentSince Jul 25, 2018 Accepting new patients

Locations

2203 Canterbury Dr
Hays, KS 67601
Phone (785) 625-3937

1300 Main St
Hays, KS 67601
Phone (785) 621-4242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1356337901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012341",
            "telephone_number": "785-625-3937",
            "fax_number": "785-625-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012341",
            "telephone_number": "785-625-3937",
            "fax_number": "785-625-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STACEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100642830A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.