Individual provider Active NPI

Glen H Stone, O.D.

  • Optometrist
  • Batesville, MS
National Provider Identifier
1992817597
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
535 Issued in MS
Practice address
365 Highway 51 N
Batesville, MS 38606-2311
Phone
(662) 563-9880
Fax
(662) 563-9882
NPI assigned
Aug 31, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 535 MS Primary
Pediatric Optometrist 152WP0200X 535 MS
Sports Vision Optometrist 152WS0006X 535 MS
Occupational Vision Optometrist 152WX0102X 535 MS
Contact Lens Technician/Technologist 156FC0800X 535 MS
Contact Lens Fitter 156FC0801X 535 MS
Ophthalmic Technician/Technologist 156FX1100X 535 MS

Addresses

Primary practice location

365 Highway 51 N
Batesville, MS 38606-2311

Mailing address

365 Highway 51 N
Batesville, MS 38606-2311
Phone (662) 563-9880

Other identifiers 1

IdentifierTypeStateIssuer
00087100MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20051101000664 MS Practitioner - Optometry 4183641905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Batesville Vision ClinicGroup PAC ID 4284651001, 2 clinicians

Practice addresses (Care Compare)

365 Hwy 51 N
Batesville, MS 38606-2311
Phone (662) 563-9880

Merit-based Incentive Payment System (MIPS)

Final score
19.57 of 100Reported as individual
Quality
35.64
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
535MSMDOphthalmic Technician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Vision Clinic Optometrist CurrentSince Oct 1, 1985 Accepting new patients

Locations

365 Highway 51 N
Batesville, MS 38606
Phone (601) 563-9883

Interoperability endpoints

  • Direct secure messaging: glenhstone@batesvillevisionclinic.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1992817597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062311",
            "telephone_number": "662-563-9880",
            "fax_number": "662-563-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062311",
            "telephone_number": "662-563-9880",
            "fax_number": "662-563-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "GLEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "535",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MS",
            "license": "535",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MS",
            "license": "535",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MS",
            "license": "535",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "MS",
            "license": "535",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MS",
            "license": "535",
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MS",
            "license": "535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087100",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.