Individual provider Active NPI

Jessica Lauren Stone, OD

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1770151763
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E84 Issued in AL
Practice address
5550 Wares Ferry Rd
Montgomery, AL 36117-2113
Phone
(334) 271-3937
Fax
(334) 279-7434
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E84 AL Primary

Addresses

Primary practice location

5550 Wares Ferry Rd
Montgomery, AL 36117-2113

Mailing address

5550 Wares Ferry Rd
Montgomery, AL 36117-2113
Phone (334) 271-3937

Other names 1

  • Dr. Jessica Lauren Stone Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Montgomery Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231003002079 AL Practitioner - Optometry 0547614943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5550 Wares Ferry Rd
Montgomery, AL 36117-2113
Phone (334) 271-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E84ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Optical Laboratories Inc CurrentSince Sep 7, 2023 Accepting new patients

Locations

5550 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 271-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1770151763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172113",
            "telephone_number": "334-271-3937",
            "fax_number": "334-657-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172113",
            "telephone_number": "334-271-3937",
            "fax_number": "334-279-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Montgomery",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "titos",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5550 Wares Ferry Rd",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361172113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STONE",
            "middle_name": "LAUREN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.