Active NPI
Stacey J Meier, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1972645703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 3425 W Thunderbird Rd Ste 17
Phoenix, AZ 85053-5670 - Phone
- (602) 789-1199
- Fax
- (602) 886-9505
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AZ | Primary |
Addresses
Primary practice location
3425 W Thunderbird Rd Ste 17
Phoenix, AZ 85053-5670
Mailing address
604 E Yearling Rd
Phoenix, AZ 85085-1817
Phone (623) 434-1229
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0639 | Other | AZ | EYEMED VISION |
| EYEDOX 123 | Other | AZ | EYECARE DIRECT |
| 3838 | Other | AZ | AVESIS |
| 789-1199 | Other | AZ | VISION SERVICE |
| MM0627882 | Other | AR | PERSCRIPTIONS |
| 119 | Other | AZ | TPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972645703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 E YEARLING RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850851817",
"telephone_number": "623-434-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 W THUNDERBIRD RD STE 17",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535670",
"telephone_number": "602-789-1199",
"fax_number": "602-886-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIER",
"first_name": "STACEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION",
"identifier": "AZ0639",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYECARE DIRECT",
"identifier": "EYEDOX 123",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "3838",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE",
"identifier": "789-1199",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSCRIPTIONS",
"identifier": "MM0627882",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPA",
"identifier": "119",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.