Individual provider Active NPI

Maria Arrate Stanley, O.D.

  • Optometrist
  • Sparks, NV
National Provider Identifier
1811029366
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
312 Issued in NV
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

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2516009MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 0446299846, 9 clinicians

Practice addresses (Care Compare)

620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jan 1, 2016 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.

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

Verify at the official NPI Registry.