MRS. STACY U CARSON (O. D.) – Optometrist, NPI 1871530964

MRS. STACY U CARSON (O. D.) is a healthcare provider. based in Conyers, Georgia. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 1622 (GA). The NPI Number for MRS. STACY U CARSON (O. D.) is 1871530964

Main info

Female
29 Years Of Experience
Name
MRS. STACY U CARSON (O. D.)
NPI
1871530964
Phone
(770) 483-4831
Address
805 COMMERCE DR SW
Enumeration Date
31 May 2006
Last Update Date
22 November 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
0941200802
Professional Enrollment ID
I20061228000219
Address ID
GA300946606CO805XXSWDR301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for MRS. STACY U CARSON (O. D.)

  • 805, Commerce Drive Southwest, Conyers, Rockdale County, Georgia, 30094, United States

    SUITE A

    CONYERS, GA 300946606

    Phone: (770) 483-4831

    Fax: (770) 483-4840

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-12-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061228000219IOptometryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system7777$0
92012Established patient problem focused exam of visual system3730$0
92133Imaging of optic nerve2825$0
92083Exam of visual field with extended testing1817$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 30094)

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Provider's Procedures

MRS. STACY U CARSON (O. D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92012Eye and medical examination for diagnosis and treatment, established patient2420

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Frequently asked questions

What federal number belongs to MRS. STACY U CARSON (O. D.)?
The federal identifier for MRS. STACY U CARSON (O. D.) is NPI 1871530964.
Is MRS. STACY U CARSON (O. D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. STACY U CARSON (O. D.) list a primary specialty?
If you are matching referrals, note Optometrist for MRS. STACY U CARSON (O. D.). Clinical services aligned with this taxonomy classification.
Does MRS. STACY U CARSON (O. D.) practice in Georgia?
You will see Conyers, Georgia on file for MRS. STACY U CARSON (O. D.) alongside any extra practice locations.
What if Conyers, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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