Organization Active NPI

David R. Stacy, O.D., L.L.C.

Doing business as The Eye Center

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1871586628
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ#224 Issued in AZ
Legal business name
DAVID R. STACY, O.D., L.L.C.
Doing business as
The Eye Center
Practice address
2974 N. Alma School Road
#3
Chandler, AZ 85224-6713
Phone
(480) 899-0188
Fax
(480) 899-0199
NPI assigned
Aug 26, 2005
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mrs. Patricia Ann Stacy, B.S.
Title
Office Manager
Phone
(480) 899-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X AZ#224 AZ Primary

Addresses

Primary practice location

2974 N. Alma School Road
#3
Chandler, AZ 85224-6713

Mailing address

2974 N. Alma School Road
#3
Chandler, AZ 85224-6713
Phone (480) 899-0188

Other identifiers 2

IdentifierTypeStateIssuer
AZ0249770OtherBCBS
035354MedicaidAZ

Other names 1

  • The Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

2055 N Alma School Rd
Chandler, AZ 85224
Phone (480) 899-0188

2055 N Alma School Rd
Ste 18
Chandler, AZ 85224
Phone (480) 899-0188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1871586628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 N. ALMA SCHOOL ROAD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246713",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 N. ALMA SCHOOL ROAD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246713",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. STACY, O.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-899-0188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ#224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0249770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.