Rod D Stoy

Primary specialty

OptometristTaxonomy code 152W00000X

License

1052-2 Issued in KS

Legal business name

ROD D STOY

Practice address

2508 Edgemont Dr
Suite #6
Arkansas City, KS 67005-3844

Phone

(620) 442-2577

Fax

(620) 442-2578

NPI assigned

Jan 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitzi M Bryant

Title

Insurance Specialist

Phone

(620) 442-2577

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922079268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR",
            "address_2": "SUITE #6",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053844",
            "telephone_number": "620-442-2577",
            "fax_number": "620-442-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR",
            "address_2": "SUITE #6",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053844",
            "telephone_number": "620-442-2577",
            "fax_number": "620-442-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROD D STOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "620-442-2577"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1052-2",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1600",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "065070",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Arkansas City, KS
• Providers in Arkansas City, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.