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NPI · 1639164247 · NPPES-sourced

Stacie Lynn OD

ActiveOptometrist
NPI Number
1639164247
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(215) 969-1100
License PA · OEG002050
Last Updated
About 14 months ago (Mar 2025)
Enumerated 2005-09-20
Primary practice addressPA · 19115
9863 Busleton Ave, Ste APhiladelphia, PA 19115
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About this NPIWhat this record shows.

NPI 1639164247 is registered to Stacie Lynn OD, a Optometrist practising at 9863 Busleton Ave, Ste A in Philadelphia, Pennsylvania. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Stacie Lynn OD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-09-20
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Stacie Lynn OD accepts. To confirm in-network status with your specific health plan, contact Stacie Lynn OD directly at (215) 969-1100.

Frequently asked

Yes. NPI 1639164247 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (215) 969-1100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Stacie Lynn OD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated2025-03
Enumerated2005-09-20
StatusActive
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