David Ray Stacy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ224 Issued in AZ

Practice address

2974 N Alma School Road
#3
Chandler, AZ 85224-6713

Phone

(480) 899-0188

Fax

(480) 899-0199

NPI assigned

Jul 19, 2005

Last updated

Aug 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1740289990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 N ALMA SCHOOL ROAD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246713",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 N ALMA SCHOOL ROAD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246713",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ224",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AZ",
            "license": "AZ224",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "AZ",
            "license": "AZ224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rebecca St Clair, M.S., LMFT
• St Francis Healthcare LLC
• Charmainge St Halaire, ND
• Rachel Staben, MS
• Ashley N Stach
• Kacey Stahl, RN
• Amanda Staley, OT
• Scott Alan Stambaugh
• Patricia Stamper, O.D.
• Craig Standage, DMD

• Optometrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.