DR. STACIE LYNNE HASSERT (NPI# 1639268873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639268873 |
Entity Type | Individual |
Full Name | DR. STACIE LYNNE HASSERT |
Credential | O.D. |
Practice Address |
5605 W Northern Ave Walmart Vision Center Glendale AZ 85301 |
Mailing Address |
4303 E Vista Bonita Dr Phoenix AZ 85050-8774 |
Practice Telephone | 6239346917 |
Practice Fax Number | 6239346919 |
Mailing Telephone | 4803691730 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2010-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 1456 | AZ | Eye and Vision Services Providers |
Street Address |
5605 W NORTHERN AVE WALMART VISION CENTER |
City | GLENDALE |
State | AZ |
Zip Code | 85301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326065541 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-07-16 |
1235687112 | Truce Phan | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2016-09-20 |
1427401165 | Joshua Whitenack | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2016-07-18 |
1144643248 | Robert Itkoe | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-24 |
1669894077 | Lily Ann Rodgers | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-21 |
1124441563 | Mereon Tekleberhan | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-21 |
1285056689 | Manoj Gopal Patel | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-20 |
1710038799 | Kerry's Medical Inc | Durable Medical Equipment & Medical Supplies | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2007-01-16 |
1043391451 | Stacie L Westen Od Pllc | Optometrist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-10-19 |
1881782837 | Walmart Stores, Inc. | Technician/Technologist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-10-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
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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 |
---|---|---|---|---|
1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
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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.