Stacey R Wenger Bowling, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03303 Issued in MO

Practice address

1000 James Epps Road
Suite 1
Branson, MO 65616-2030

Phone

(417) 334-7291

Fax

(417) 334-6156

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

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.

• DRS Bowling Griffith & Antle Optometrists PC

  • Optometrist
  • Branson, MO
  • NPI 1861478679

  MO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• DRS Bowling Griffith & Antle Optometrists PC

  • Optometrist
  • Ava, MO
  • NPI 1326140187
  Care Compare group NPD (past) Authorized official

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Bowling Griffith and Antle Optometrists PC 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.39 of 100Reported as group

Quality

56.78

Improvement activities

40

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Stacey R Wenger Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2010.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1780668491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JAMES EPPS ROAD",
            "address_2": "SUITE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162030",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JAMES EPPS ROAD",
            "address_2": "SUITE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162030",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER BOWLING",
        "first_name": "STACEY",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318591302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "000006128",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "115578",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "WENGER",
            "middle_name": "R",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Watson-Hill, MA, PLPC
• Sarah Opal Lynn Watts, PA
• Crystal A. Webb, FNP
• Christoffer J Weber, MD
• Gudrun A Weinsaft
• Sherilyn R Weter, CRNA
• Anthony Wheeler, MD
• Holly Lynn Wherry, MD
• White River Anesthesia Associates, Inc
• Whole Health Chiropractic, LLC

• All providers in Branson, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.