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DR. ANDREW DAVID STACK O.D.
NPI 1306983648
Optometrist in New Haven, CT

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
1457 WHALLEY AVE, NEW HAVEN, CT 06515(203) 387-3937(203) 389-3994 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew David Stack O.d. NPPES

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

DR. ANDREW DAVID STACK O.D. (NPI 1306983648) is an individual optometrist in New Haven, Connecticut, licensed in Connecticut (2289) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1985).

NPPES Registry Identity

NPI1306983648
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW DAVID STACKCredential: O.D.
Location Address1457 WHALLEY AVENew Haven, CT 06515-1153
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone(203) 387-3937
Fax(203) 389-3994
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1985
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1306983648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · 2289
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.
1457 WHALLEY AVE, New Haven, CT 06515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Andrew David Stack O.d. 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 ID5597716803
PECOS Enrollment IDI20050203000701
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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 6

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

DR. WENDY KOK O.D.
Optometrist
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 562-3937
IVA HOXHA OD
Optometrist
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 387-3937
DR. RAYMOND FARMER O.D
Optometrist
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 387-3937
MARK G RYAN
Optometrist
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 562-3937
OPTICARE EYE HEALTH CENTERS, INC.
Eyewear Supplier
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 562-3937
MYEYEDR OPTOMETRY OF CONNECTICUT, LLC
Optometrist
1457 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 387-3937

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 Andrew Stack's NPI number?

The NPI number for Andrew Stack is 1306983648. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Andrew Stack located?

Andrew Stack practices at 1457 Whalley Ave, New Haven, CT 06515. The listed phone number is (203) 387-3937.

What is Andrew Stack's specialty?

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

Is Andrew Stack enrolled in Medicare?

Yes. Andrew Stack 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 Andrew Stack accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Andrew Stack 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 Andrew Stack was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.