Raines Invision Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

PC-130 Issued in AR

Legal business name

RAINES INVISION EYECARE

Practice address

2704 Alexander Dr
Suite E
Jonesboro, AR 72401-7070

Phone

(870) 336-3937

Fax

(870) 336-3934

NPI assigned

Feb 21, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacey D Raines, ODNPI 1790779676

Title

Optometric Physician

Phone

(870) 336-3937

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Delane Raines, O.D.

  • Optometrist
  • Jonesboro, AR
  • NPI 1790779676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1710952981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17287",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036723",
            "telephone_number": "870-336-3937",
            "fax_number": "870-336-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 ALEXANDER DR",
            "address_2": "SUITE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017070",
            "telephone_number": "870-336-3937",
            "fax_number": "870-336-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINES INVISION EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "870-336-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "PC-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155047722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25158",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5F149",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "00696627",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5069225",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Marie Raffanelli
• Muhammad Rafique, M.B.B.S.
• Darrell G. Ragland, M.D.
• Aniqa Raheem, M.D.
• Tara H Rahmlow, MD
• Stacey Delane Raines, O.D.
• Bethanee Marie Rains
• Emily Anne Rainwater
• Sherry Rainwater, LPC
• Raising the Standards of Care LLC

• Optometrist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.