Stacey Nichole Kroggel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1697DT Issued in KY

Practice address

104 Fairfield Dr
Nicholasville, KY 40356-8842

Phone

(859) 887-2441

Fax

(859) 885-3323

NPI assigned

Jul 9, 2007

Last updated

Aug 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Southern College of Optometry, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Ditto and Musick PLLCGroup PAC ID 0749584977, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ditto & Musick PLLC

  dba Ditto & Musick Eye Care Center

  • Optometrist
  • Nicholasville, KY
  • NPI 1154794352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1659579985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIRFIELD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568842",
            "telephone_number": "859-887-2441",
            "fax_number": "859-885-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRFIELD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568842",
            "telephone_number": "859-887-2441",
            "fax_number": "859-885-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGGEL",
        "first_name": "STACEY",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1697DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Kouns, R.D.N, L.D.
• Kpa LLC (Kentucky Pulmonary Associates)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Deborah Martin Lainhart
• Amanda Jeanine Lamb, LADC
• Lauren Marie Cass Lane, MS, RD, LD
• Annette Langner, RPH
• Ashley Paige Lankster-Mattox, M.A, CCC-SLP

• Optometrist in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.