DR. STACIE L VIRDEN (OD) – Optometrist, NPI 1689635500

DR. STACIE L VIRDEN (OD) is a healthcare provider. based in Waco, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5464TG (TX). The NPI Number for DR. STACIE L VIRDEN (OD) is 1689635500

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACIE L VIRDEN (OD)
NPI
1689635500
Phone
(254) 776-8119
Address
1000 W HIGHWAY 6
Enumeration Date
30 March 2006
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2547768119
Graduation Year
1997 (29 years ago)
PAC ID
0042226045
Group Practice PAC ID
0749510253
Professional Enrollment ID
I20060228000765
Address ID
TX767123788WA1000X6XXX501
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

3,128 OPTOMETRY in TX

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Provider Addresses for DR. STACIE L VIRDEN (OD)

  • West Highway 6, Waco, McLennan County, Texas, 76710, United States

    SUITE 210

    WACO, TX 767123786

    Phone: (254) 776-8119

    Fax: (254) 776-1511

    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 163 Open Payments records for all available years, with a total value of $73,278.

Total Amount is formed as General ($73,278) + Research ($0) + Ownership ($0) = $73,278.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($73,071).

Total Amount

$73,278

General + Research + Ownership

Payments

163

Total payment records

General Amount

$73,278

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: 2006-02-28

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
I20060228000765IOptometryTXTBD

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 system8070$0
92250Photography of the retina7470$0
92012Established patient problem focused exam of visual system6945$0
92134Imaging of retina4338$0
92284Evaluation of eye adaptation to light and dark with interpretation and report3531$0
View full utilization report →

Insurance plans in this area (ZIP 76712)

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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: 0749510253View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the standard ID for DR. STACIE L VIRDEN (OD) in the U.S.?
In the U.S., DR. STACIE L VIRDEN (OD) is identified by NPI 1689635500.
Is DR. STACIE L VIRDEN (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. STACIE L VIRDEN (OD) as active.
Which specialty label fits DR. STACIE L VIRDEN (OD)?
NPPES ties DR. STACIE L VIRDEN (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STACIE L VIRDEN (OD)?
DR. STACIE L VIRDEN (OD) shows a connection to Waco, Texas in registry-derived data.
Why is information missing for DR. STACIE L VIRDEN (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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