DR. STACY CARPENTER (O.D.) – Optometrist, NPI 1629482690

DR. STACY CARPENTER (O.D.) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG002937 (PA). The NPI Number for DR. STACY CARPENTER (O.D.) is 1629482690

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY CARPENTER (O.D.)
NPI
1629482690
Phone
(814) 599-3877
Address
2719 PATTON RD
Enumeration Date
17 June 2014
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172338783
Graduation Year
2014 (12 years ago)
PAC ID
9931328770
Group Practice PAC ID
9335127125
Professional Enrollment ID
I20140910000597
Address ID
PA171101213HA235XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for DR. STACY CARPENTER (O.D.)

  • 2719 PATTON RD

    HARRISBURG, PA 171129116

    Phone: (814) 599-3877

    Type: Mailing

  • 11 TRISTAN DR STE 100

    DILLSBURG, PA 170191637

    Phone: (717) 502-6019

    Fax: (717) 502-6027

    Type: Location

  • 610 E SPRUCE ST

    PALMYRA, PA 170781425

    Phone: (814) 599-3877

    Type: Mailing

  • 6535 GRAYSON RD

    HARRISBURG, PA 171115141

    Phone: (717) 561-2980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($124).

Total Amount

$300

General + Research + Ownership

Payments

14

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

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: 2014-09-10

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
I20140910000597IOptometryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17112)

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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: 9335127125View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
-PA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is the registry number for DR. STACY CARPENTER (O.D.)?
The registry entry for DR. STACY CARPENTER (O.D.) shows NPI 1629482690.
Does the public listing show DR. STACY CARPENTER (O.D.) as active?
DR. STACY CARPENTER (O.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. STACY CARPENTER (O.D.)?
NPPES ties DR. STACY CARPENTER (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STACY CARPENTER (O.D.)?
DR. STACY CARPENTER (O.D.) shows a connection to Harrisburg, Pennsylvania in registry-derived data.
Can I export DR. STACY CARPENTER (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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