Individual provider Active NPI

Stacey Marie Ritz, OD

  • Optometrist
  • Latham, NY
National Provider Identifier
1649230624
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006701 Issued in NY
Practice address
713 Troy Schenectady Road
Suite 135
Latham, NY 12110
Phone
(518) 782-7827
NPI assigned
Mar 24, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006701 NY Primary

Addresses

Primary practice location

713 Troy Schenectady Road
Suite 135
Latham, NY 12110

Mailing address

713 Troy Schenectady Road
Suite 135
Latham, NY 12110
Phone (518) 782-7827

Other identifiers 1

IdentifierTypeStateIssuer
02649741MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20031215000347 NY Practitioner - Optometry 0345147815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E Brass MD PLLCGroup PAC ID 5294773347, 5 clinicians

Practice addresses (Care Compare)

1783 Route 9
Suite 106
Clifton Park, NY 12065-2465

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
98.03
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006701NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Brass,M.D.,PLLC CurrentSince Sep 17, 2017 Accepting new patients
Family Eyecare Associates, O.D.P.C Optometrist Past Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Aug 9, 2010 Accepting new patients
Eye Designs Unlimited Optometry PC Optometrist PastSince Nov 12, 2012 Accepting new patients
Optical Shop of Clifton Park LLC Past Accepting new patients
The Optical Shop of Latham, LLC Past Accepting new patients

Locations

1783 Route 9
Ste 106
Halfmoon, NY 12065
Phone (518) 348-2062

713 Troy Schenectady Rd
Ste 135
Latham, NY 12110
Phone (518) 782-7827

Interoperability endpoints

  • Direct secure messaging: drritz@brasseyecenter.medentdirect.com

Organizations & group practices 7

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1649230624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY ROAD",
            "address_2": "SUITE 135",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-782-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY ROAD",
            "address_2": "SUITE 135",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-782-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZ",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02649741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.