Justin L. Stilley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002017015 Issued in MO

Practice address

1602 S. Rangeline Rd.
Joplin, MO 64804

Phone

(417) 553-9903

Fax

(417) 385-1955

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stilley Eye Associates, P.C.Group PAC ID 1850499971, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stilley Eye Associates, P.C.

  • Optometrist
  • Joplin, MO
  • NPI 1902000466
  Medicare reassignment Care Compare group
• Lazenby Optometry Associates Inc

  • Optometrist
  • Joplin, MO
  • NPI 1205048170
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447347224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 S. RANGELINE RD.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-553-9903",
            "fax_number": "417-385-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S. RANGELINE RD.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-553-9903",
            "fax_number": "417-385-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLEY",
        "first_name": "JUSTIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "2002017015",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002017015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318383007",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camryn Grace Stickel
• Gretchen Rae Stiefel, D.O.
• Eric Stiegman, HIS
• Melissa Stiffler
• Stilley Eye Associates, P.C.
• Rebecca J. Stilley, O.D.
• Grace R Stillions
• Donovan Mitchell Stinnett, MD
• Rae Stites, NP
• Stones Corner Pharmacy, Inc.

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.