Active NPI
Maria Arrate Stanley, O.D.
- Optometrist
- Sparks, NV
National Provider Identifier
1811029366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 312
- Practice address
- 2261 Pyramid Way
Suite 5
Sparks, NV 89431-2189 - Phone
- (775) 358-7921
- Fax
- (775) 358-6278
- NPI assigned
- Mar 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 312 | NV | Primary |
Addresses
Primary practice location
2261 Pyramid Way
Suite 5
Sparks, NV 89431-2189
Mailing address
2261 Pyramid Way
Suite 5
Sparks, NV 89431-2189
Phone (775) 358-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2516009 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110321000963 | NV | Practitioner - Optometry | 9931185840 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilson, Conkey and Associates P.C.
Practice addresses (Care Compare)
620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson, Conkey & Associates, P.C. | Optometrist | Current | Accepting new patients |
| Wilson, Conkey & Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
620 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-4519
Organizations & group practices 2
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.
-
- Optometrist
- Reno, NV
- NPI 1326769878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1811029366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 PYRAMID WAY",
"address_2": "SUITE 5",
"city": "SPARKS",
"state": "NV",
"postal_code": "894312189",
"telephone_number": "775-358-7921",
"fax_number": "775-358-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 PYRAMID WAY",
"address_2": "SUITE 5",
"city": "SPARKS",
"state": "NV",
"postal_code": "894312189",
"telephone_number": "775-358-7921",
"fax_number": "775-358-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MARIA",
"middle_name": "ARRATE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2516009",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.