DR. STACI DAWN ANDERSON (NPI# 1558402578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558402578 |
| Entity Type | Individual |
| Full Name | DR. STACI DAWN ANDERSON |
| Credential | O.D. |
| Practice Address |
2727 Fairfield Commons Blvd Beavercreek OH 45431-3778 |
| Mailing Address |
2178 Painter Pl Miamisburg OH 45342-3982 |
| Practice Telephone | 9374272779 |
| Practice Fax Number | 9374271527 |
| Mailing Telephone | 9378659635 |
| Mailing Fax Number | 9374271527 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5284 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | EYEMED PROVIDER ID # | 220039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922069285 | Staci Arin Anderson | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-03-28 |
| Street Address |
2727 FAIRFIELD COMMONS BLVD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-3778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679668842 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2727 Fairfield Commons Blvd, Mall At Fairfield Commons, Beavercreek, OH 45431-3778 | 2006-10-04 |
| 1477816056 | Sarah Maree Smith | Dentist | 2727 Fairfield Commons Blvd, Beavercreek, OH 45431-3778 | 2012-06-19 |
| 1851586366 | Sho-chi Su | Optometrist | 2727 Fairfield Commons Blvd, Space W179, Beavercreek, OH 45431-3778 | 2007-09-07 |
| 1891846994 | Scott Richard Martin | Optometrist | 2727 Fairfield Commons Blvd, Sears Optical, Beavercreek, OH 45431-3778 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801429 | Ohio Physicians Eyecare Group, P.a., Inc. | Optometrist | 2650 N Fairfield Rd Ste A, Beavercreek, OH 45431-1711 | 2018-11-30 |
| 1467967083 | West Point Optical Group | Optometrist | 4419 Walnut St, Beavercreek, OH 45440-1379 | 2017-12-05 |
| 1891000758 | Vision Value | Optometrist | 2650 N Fairfield Rd, Suite A, Beavercreek, OH 45431-1711 | 2010-08-16 |
| 1174649743 | Dr. James D. Egbert, Optometrist, Inc. | Optometrist | 2418 Esquire Dr, Beavercreek, OH 45431-4203 | 2007-03-22 |
| 1699890186 | Deirdre Holmes Beck | Optometrist | 3464 Pentagon Prk Blvd, Beavercreek, OH 45431-1790 | 2007-03-21 |
| 1740330703 | T. R. Stahl & Assoc. Inc. | Optometrist | 1370 N. Fairfield Rd, Beavercreek, OH 45432-2675 | 2007-01-11 |
| 1720176480 | D D Loewit & Associates Inc | Optometrist | 1395 Research Park Dr, Beavercreek, OH 45432-2817 | 2006-10-10 |
| 1487679866 | Thomas R Stahl | Optometrist | 3140 Dayton Xenia Rd, Beavercreek, OH 45434-6395 | 2006-07-13 |
| 1831124155 | Carla S Shorter | Optometrist | 2242 Turnbull Rd, Beavercreek, OH 45431-3221 | 2006-07-12 |
| 1922062769 | John P Downer | Optometrist | 2468 Dayton Xenia Rd, Beavercreek, OH 45434-7168 | 2006-04-17 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.