Individual provider Active NPI

Stacy M Schorner, O.D.

  • Optometrist
  • Monroe, NC
National Provider Identifier
1932375367
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2099 Issued in NC
Practice address
630 Comfort LN
Monroe, NC 28112-6199
Phone
(704) 289-5455
Fax
(704) 291-2207
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2099 NC Primary

Addresses

Primary practice location

630 Comfort LN
Monroe, NC 28112-6199

Mailing address

PO Box 207261
Dallas, TX 75320-7261
Phone (636) 200-4393

Other practice location 1

1520 South Blvd Ste 105
Charlotte, NC 28203-4786
Phone (704) 392-2020

Other practice location 2

1001 E Wt Harris Blvd Ste H
Charlotte, NC 28213-5180
Phone (704) 549-4523

Other practice location 3

7510 Pineville Matthews Rd
Charlotte, NC 28226-3906
Phone (704) 542-2844

Other identifiers 3

IdentifierTypeStateIssuer
093X9OtherNCBCBS
2941385OtherNCUNITED HEALTHCARE
5909701MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081216000664 NC Practitioner - Optometry 3971665522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians
Premier Family Eye Care OD PLLCGroup PAC ID 8123159324, 4 clinicians

Practice addresses (Care Compare)

1520 S Blvd
Suite 105
Charlotte, NC 28203-4786
Phone (704) 392-2020

6467 Old Monroe Rd
Suite I
Indian Trail, NC 28079-5426
Phone (704) 821-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2099NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 6, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 6, 2023 Accepting new patients
University Eye Associates OD, PA Optometrist Past Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
University Eye Associates, OD PA Optometrist Past Accepting new patients

Locations

1208 South Blvd
Charlotte, NC 28203
Phone (704) 392-2020

7510 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 542-2844

1520 South Blvd
Ste 105
Charlotte, NC 28203
Phone (704) 392-2020

1001 E Wt Harris Blvd
Ste H
Charlotte, NC 28213
Phone (704) 549-4523

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: sschorner@metrolina.intellechartdirect.net

Organizations & group practices 7

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1932375367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COMFORT LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126199",
            "telephone_number": "704-289-5455",
            "fax_number": "704-291-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 South Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034786",
            "country_code": "US",
            "telephone_number": "704-392-2020",
            "fax_number": "704-399-8029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Wt Harris Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135180",
            "country_code": "US",
            "telephone_number": "704-549-4523",
            "fax_number": "704-549-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 Pineville Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263906",
            "country_code": "US",
            "telephone_number": "704-542-2844",
            "fax_number": "704-542-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHORNER",
        "first_name": "STACY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093X9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2941385",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.