Stacie L Virden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5464TG Issued in TX

Practice address

1000 W Highway 6
Suite 210
Waco, TX 76712-3786

Phone

(254) 776-8119

Fax

(254) 776-1511

NPI assigned

Mar 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacie Layne Virden OD PAGroup PAC ID 0749510253, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Stacie Layne Virden OD PA

  • Optometrist
  • Waco, TX
  • NPI 1427602382
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1689635500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W HIGHWAY 6",
            "address_2": "SUITE 210",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123786",
            "telephone_number": "254-776-8119",
            "fax_number": "254-776-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HIGHWAY 6",
            "address_2": "SUITE 210",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123786",
            "telephone_number": "254-776-8119",
            "fax_number": "254-776-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRDEN",
        "first_name": "STACIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5464TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemuel Villarin
• Gustavo G Villarreal Jr, MD
• Lucy K Villarreal, M.D.
• Malinda Villegas, FNP
• Michael Vinson
• Visionworks, Inc. (Visionworks)
• Visionworks, Inc. (Visionworks)
• Visn 17 Center of Excellence for Research on Returning War Veterans
• Luong Ngoc Vo
• Katharine Lorraine Vogelaar, DNP, FNP-C

• Optometrist in Waco, TX
• Providers in Waco, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.