Individual provider Active NPI

Michele Stanley, O.D.

  • Optometrist
  • Cross Lanes, WV
National Provider Identifier
1518172287
Registry record updated Mar 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV851OD Issued in WV
Practice address
100 Nitro Market PL
Cross Lanes, WV 25313-4401
Phone
(304) 769-2253
Fax
(304) 769-2254
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WV851OD WV Primary

Addresses

Primary practice location

100 Nitro Market PL
Cross Lanes, WV 25313-4401

Mailing address

1542 Thomas Cir
Charleston, WV 25314-1623
Phone (304) 344-0162

Other identifiers 1

IdentifierTypeStateIssuer
0619845OtherWVPTAN

Other names 1

  • Dr. Michele Rashid-Stanley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20050727001202 WV Practitioner - Optometry 0143258574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Nitro Market PL
Cross Lanes, WV 25313-4401
Phone (304) 769-2253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV851ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doc Inc Optometrist CurrentSince Dec 1, 1998 Accepting new patients

Locations

100 Nitro Market Pl
Cross Lanes, WV 25313
Phone (304) 769-0140

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362182400000",
    "number": "1518172287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 THOMAS CIR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141623",
            "telephone_number": "304-344-0162",
            "fax_number": "304-769-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NITRO MARKET PL",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253134401",
            "telephone_number": "304-769-2253",
            "fax_number": "304-769-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV851OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0619845",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RASHID-STANLEY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cross Lanes, WV

Sources for this page

Verify at the official NPI Registry.