DR. ANDREW DAVID STACK (O.D.) – Optometrist, NPI 1306983648
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
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Provider Addresses for DR. ANDREW DAVID STACK (O.D.)
Walmart, 465, Bridgeport Avenue, Shelton, Fairfield County, Connecticut, 06484, United States
SHELTON, CT 064844751
Phone: (203) 926-1254
Fax: (293) 925-0855
Type: Mailing
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
1457 WHALLEY AVE
NEW HAVEN, CT 065151153
Phone: (203) 387-3937
Fax: (203) 389-3994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: CooperVision Inc. ($133).
Total Amount
$419
General + Research + Ownership
Payments
12
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $133 |
| Bausch & Lomb Americas Inc. | $123 |
| Alcon Vision LLC | $116 |
| Tarsus Pharmaceuticals, Inc. | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050203000701 | I | Optometry | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NY | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | VA | |
| - | MA | |
| O P T O M E T R Y | CT | |
| - | VA | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | CT |
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