Ally Stoeger

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000134 Issued in VA

Practice address

7001 Heritage Village PLZ
110
Gainesville, VA 20155-3065

Phone

(703) 999-9279

Fax

(703) 890-2937

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alicja Stoeger Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1366442063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ",
            "address_2": "110",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553065",
            "telephone_number": "703-999-9279",
            "fax_number": "703-890-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ",
            "address_2": "110",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553065",
            "telephone_number": "703-999-9279",
            "fax_number": "703-890-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEGER",
        "first_name": "ALLY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICJA",
            "last_name": "STOEGER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.