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MOLLY JUNE STACKS OD
NPI 1164126793
Optometrist in Edwardsville, IL

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
2121 S STATE ROUTE 157, EDWARDSVILLE, IL 62025(618) 656-7774(618) 656-0536 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Molly June Stacks Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY JUNE STACKS OD (NPI 1164126793) is an individual optometrist in Edwardsville, Illinois, licensed in Illinois (046.011735) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2023).

NPPES Registry Identity

NPI1164126793
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMOLLY JUNE STACKSCredential: OD
Location Address2121 S STATE ROUTE 157Edwardsville, IL 62025-3691
Mailing AddressPo Box 207163Dallas, TX 75320-7163 · (636) 200-4393 · Fax (636) 527-0766
Phone(618) 656-7774
Fax(618) 656-0536
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2023
Enumeration DateMarch 28, 2023
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1164126793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.011735
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2121 S STATE ROUTE 157, Edwardsville, IL 62025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Molly June Stacks Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658733076
PECOS Enrollment IDI20230817001305
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services40 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
33 services33 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE J BARBER O.D.
Optometrist
2121 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Madison County (618) 656-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Stacks's NPI number?

The NPI number for Molly Stacks is 1164126793. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Molly Stacks located?

Molly Stacks practices at 2121 S State Route 157, Edwardsville, IL 62025. The listed phone number is (618) 656-7774.

What is Molly Stacks's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Molly Stacks enrolled in Medicare?

Yes. Molly Stacks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Molly Stacks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 8 other insurers list Molly Stacks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Stacks was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.