Individual provider Active NPI

Stacy K Fitch, O.D.

  • Optometrist
  • Topeka, KS
National Provider Identifier
1821058041
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1301-3 Issued in KS
Practice address
2144 SW 36TH St
Topeka, KS 66611-2554
Phone
(785) 266-1010
Fax
(785) 266-5312
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1301-3 KS Primary

Addresses

Primary practice location

2144 SW 36TH St
Topeka, KS 66611-2554

Mailing address

2144 SW 36TH St
Topeka, KS 66611-2554
Phone (785) 266-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050527000741 KS Practitioner - Optometry 0749222883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atteberry Eye Centers LLCGroup PAC ID 5496871824, 9 clinicians

Practice addresses (Care Compare)

2144 SW 36TH St
Topeka, KS 66611-2554
Phone (785) 266-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1301-3KSMDOptometrist
1308KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

5100 Bob Billings Pkwy
Ste 100
Lawrence, KS 66049
Phone (785) 841-2020

2144 SW 36th St
Topeka, KS 66611
Phone (785) 266-1010

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1821058041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1010",
            "fax_number": "785-266-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1010",
            "fax_number": "785-266-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "STACY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1301-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.