Individual provider Active NPI

Stacy Lynn Hieb, O.D.

  • Optometrist
  • Thornton, CO
National Provider Identifier
1740369248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1746 Issued in CO
Practice address
3867 E 120TH Ave
Thornton, CO 80233-1660
Phone
(303) 450-0200
Fax
(303) 450-0895
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1746 CO Primary

Addresses

Primary practice location

3867 E 120TH Ave
Thornton, CO 80233-1660

Mailing address

8309 W 90TH PL
Westminster, CO 80021-4557
Phone (303) 487-4432

Other identifiers 1

IdentifierTypeStateIssuer
08914760MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20071031000553 CO Practitioner - Optometry 6800983594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

3867 E 120TH Ave
Thornton, CO 80233-1660
Phone (303) 450-0200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Doctors Optical, Inc. Past Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients

Locations

2101 Main St
Ste D
Alamosa, CO 81101
Phone (719) 589-2020

5640 S Parker Rd
Aurora, CO 80015
Phone (303) 369-2020

8586 E Arapahoe Rd
Ste 100
Centennial, CO 80112
Phone (303) 721-4221

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

4430 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 635-2020

1813 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020

420 N Main St
Gunnison, CO 81230
Phone (719) 641-2020

314 Colorado Ave
La Junta, CO 81050
Phone (303) 544-8331

1500 S Main St
Lamar, CO 81052
Phone (719) 336-0417

2800 Cornerstone Dr
Ste A6
Pagosa Springs, CO 81147
Phone (970) 731-4300

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

900 W Northern Ave
Pueblo, CO 81004
Phone (719) 542-2222

Organizations & group practices 9

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740369248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 W 90TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214557",
            "telephone_number": "303-487-4432",
            "fax_number": "303-450-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331660",
            "telephone_number": "303-450-0200",
            "fax_number": "303-450-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEB",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08914760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.