DR. STACEY O EMBRY (OD) – Optometrist, NPI 1528044823

DR. STACEY O EMBRY (OD) is a healthcare provider. based in Evansville, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18002531 (IN). The NPI Number for DR. STACEY O EMBRY (OD) is 1528044823

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY O EMBRY (OD)
NPI
1528044823
Phone
(812) 477-8696
Address
2700 LINCOLN AVE
Enumeration Date
19 December 2005
Last Update Date
11 February 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8124778696
Graduation Year
1991 (35 years ago)
PAC ID
3476686288
Group Practice PAC ID
0941333751
Professional Enrollment ID
I20100730000521
Address ID
IN477141628EV2700XAVEX300
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

1,126 OPTOMETRY in IN

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Provider Addresses for DR. STACEY O EMBRY (OD)

  • Lincoln Avenue, Evansville, Vanderburgh County, Indiana, 47715, United States

    EVANSVILLE, IN 477141628

    Phone: (812) 477-8696

    Fax: (812) 477-1874

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-16 • Largest payer in this snapshot: CooperVision Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$13
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: 2010-07-30

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
I20100730000521IOptometryINTBD

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 system339339$0
99213Established patient office or other outpatient visit, 20-29 minutes10286$0
92134Imaging of retina7170$0
92012Established patient problem focused exam of visual system6759$0
92133Imaging of optic nerve4442$0
View full utilization report →

Insurance plans in this area (ZIP 47714)

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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: 0941333751View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What is the standard ID for DR. STACEY O EMBRY (OD) in the U.S.?
In the U.S., DR. STACEY O EMBRY (OD) is identified by NPI 1528044823.
Should I treat DR. STACEY O EMBRY (OD) as an active provider?
Patients and plans typically see DR. STACEY O EMBRY (OD) as active in the national extract.
What type of care does DR. STACEY O EMBRY (OD) provide?
DR. STACEY O EMBRY (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. STACEY O EMBRY (OD) tied to Evansville, Indiana?
If you are local to Evansville, Indiana, DR. STACEY O EMBRY (OD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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