Individual provider Active NPI

Stacy Jones, O.D.

  • Optometrist
  • Ladera Ranch, CA
National Provider Identifier
1700199684
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14028 Issued in CA
Practice address
25612 Crown Valley Pkwy
L2
Ladera Ranch, CA 92694-0475
Phone
(949) 281-2020
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14028 CA Primary

Addresses

Primary practice location

25612 Crown Valley Pkwy
L2
Ladera Ranch, CA 92694-0475

Mailing address

25612 Crown Valley Pkwy
L2
Ladera Ranch, CA 92694-0475
Phone (949) 281-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110328000459 CA Practitioner - Optometry 3971786062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

30212 Tomas
Suite 170
Rancho Santa Margarita, CA 92688-2174
Phone (949) 589-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14028CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 12, 2019 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

333 Corporate Dr
Ste 120
Ladera Ranch, CA 92694
Phone (949) 218-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

30212 Tomas
Rancho Santa Margarita, CA 92688
Phone (949) 709-8770

30212 Tomas
Ste 170
Rcho Sta Marg, CA 92688
Phone (949) 589-0900

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1700199684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25612 CROWN VALLEY PKWY",
            "address_2": "L2",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940475",
            "telephone_number": "949-281-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25612 CROWN VALLEY PKWY",
            "address_2": "L2",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940475",
            "telephone_number": "949-281-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.