MOLLY JUNE STACKS (OD) – Optometrist, NPI 1164126793

MOLLY JUNE STACKS (OD) is a healthcare provider. based in Edwardsville, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011735 (IL). The NPI Number for MOLLY JUNE STACKS (OD) is 1164126793

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY JUNE STACKS (OD)
NPI
1164126793
Phone
(618) 659-2320
Address
6663 Edwardsville Crossing Dr
Enumeration Date
28 March 2023
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6186567774
Graduation Year
2023 (3 years ago)
PAC ID
1658733076
Group Practice PAC ID
7012292147
Professional Enrollment ID
I20230817001305
Address ID
IL620253691ED2121X157X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for MOLLY JUNE STACKS (OD)

  • 6663 Edwardsville Crossing Dr

    Edwardsville, IL 620252704

    Phone: (618) 659-2320

    Fax: (618) 655-0375

    Type: Location

  • 3405 Nameoki Rd

    Granite City, IL 620403709

    Phone: (618) 219-8909

    Fax: (618) 219-8910

    Type: Location

  • 12603 State Route 143 Ste F

    Highland, IL 622491199

    Phone: (618) 882-4262

    Fax: (618) 882-4263

    Type: Location

  • 10 Lincoln Hwy Ste 101

    Fairview Heights, IL 622082100

    Phone: (618) 624-0222

    Fax: (618) 624-4930

    Type: Location

  • 1819 Homer M Adams Pkwy

    Alton, IL 620025606

    Phone: (618) 208-0585

    Fax: (618) 208-0586

    Type: Location

  • 601 Belt Line Rd

    Collinsville, IL 622344400

    Phone: (618) 223-5212

    Fax: (618) 223-5213

    Type: Location

  • 2645 N Illinois St

    Swansea, IL 622262302

    Phone: (618) 767-5100

    Fax: (618) 767-5101

    Type: Location

  • PO BOX 207163

    DALLAS, TX 753207163

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 2121 S STATE ROUTE 157

    EDWARDSVILLE, IL 620253691

    Phone: (618) 656-7774

    Fax: (618) 656-0536

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $2,180.

Total Amount is formed as General ($2,180) + Research ($0) + Ownership ($0) = $2,180.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: CooperVision Inc. ($1,882).

Total Amount

$2,180

General + Research + Ownership

Payments

24

Total payment records

General Amount

$2,180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-17

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
I20230817001305IOptometryILTBD

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 system2020$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012292147View full group profile
NameSpecialtyState
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is MOLLY JUNE STACKS (OD)'s NPI number?
MOLLY JUNE STACKS (OD)'s NPI is 1164126793 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MOLLY JUNE STACKS (OD)?
You should see MOLLY JUNE STACKS (OD) as active in CMS-hosted NPPES data.
What area of care is associated with MOLLY JUNE STACKS (OD)?
MOLLY JUNE STACKS (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MOLLY JUNE STACKS (OD)?
Directory geography for MOLLY JUNE STACKS (OD) centers on Edwardsville, Illinois.
Does MOLLY JUNE STACKS (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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