Stacey Delane Raines, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2454 Issued in AR

Practice address

2704 Alexander Dr
Suite E
Jonesboro, AR 72401-7070

Phone

(870) 336-3937

Fax

(870) 336-3934

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Raines Invision Eyecare

  • Optometrist
  • Jonesboro, AR
  • NPI 1710952981

  AR, Optometrist

  Medicare reassignment NPD Authorized official
• Custom Eyes Vision Care of Newport, Inc

  • Optometrist
  • Newport, AR
  • NPI 1598937328
  NPD (past)
• Tasker N. Rodman, II

  • Optometrist
  • Newport, AR
  • NPI 1942335625
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1790779676",
    "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": {
        "last_name": "RAINES",
        "first_name": "STACEY",
        "middle_name": "DELANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130329722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49100",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5069225",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "696627",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25158",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Rafique, M.B.B.S.
• Darrell G. Ragland, M.D.
• Aniqa Raheem, M.D.
• Tara H Rahmlow, MD
• Raines Invision Eyecare
• Emily Anne Rainwater
• Sherry Rainwater, LPC
• Raising the Standards of Care LLC
• Melissa Raja, B.S.M., MHPP
• Iliriana Ramadani, PHARMD

• All providers in Jonesboro, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.