Individual provider Active NPI

Danielle Stasney, O.D.

  • Optometrist
  • Pearl River, LA
National Provider Identifier
1801788005
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2061-008AT Issued in LA
Practice address
64185 Highway 41 Ste B
Pearl River, LA 70452-3673
Phone
(985) 250-8000
Fax
(985) 250-8001
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2061-008AT LA Primary

Addresses

Primary practice location

64185 Highway 41 Ste B
Pearl River, LA 70452-3673

Mailing address

5 Alex PL
Picayune, MS 39466-9697
Phone (601) 799-0707

Other practice location 1

5 Alex Pl
Picayune, MS 39466-9697
Phone (601) 799-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250916004887 LA Practitioner - Optometry 6406350115 Reassigns benefits to 1 organization
I20250929001607 MS Practitioner - Optometry 6406350115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare, LLCGroup PAC ID 1254345366, 4 clinicians

Practice addresses (Care Compare)

5 Alex PL
Picayune, MS 39466-9697
Phone (601) 799-0707

64185 Hwy 41
Suite B
Pearl River, LA 70452-3673
Phone (985) 250-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2061-008ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare, LLC Optometrist CurrentSince Jul 18, 2025 Accepting new patients

Locations

64185 Highway 41
Ste B
Pearl River, LA 70452
Phone (985) 250-8000

5 Alex Pl
Picayune, MS 39466
Phone (601) 799-0707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1801788005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALEX PL",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394669697",
            "telephone_number": "601-799-0707",
            "fax_number": "601-799-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64185 HIGHWAY 41 STE B",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523673",
            "telephone_number": "985-250-8000",
            "fax_number": "985-250-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Alex Pl",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394669697",
            "country_code": "US",
            "telephone_number": "601-799-0707",
            "fax_number": "601-799-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASNEY",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2061-008AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, LA

Sources for this page

Verify at the official NPI Registry.