OTHNIEL STANBERRY OD
NPI 1720590102
Optometrist in Waco, TX

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
2440 W LOOP 340 STE A7, WACO, TX 76711(254) 633-4151 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Othniel Stanberry Od NPPES

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

OTHNIEL STANBERRY OD (NPI 1720590102) is an individual optometrist in Waco, Texas, licensed in Texas (9319T) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720590102
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameOTHNIEL STANBERRYCredential: OD
Location Address2440 W LOOP 340 STE A7Waco, TX 76711-2427
Mailing Address11501 Braesview Apt 104San Antonio, TX 78213-1282
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 25, 2017
NPI 1720590102 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 TX · 9319T
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.
2440 W LOOP 340 STE A7, Waco, TX 76711

Accepted 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

Othniel Stanberry 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 ID8426380148
PECOS Enrollment IDI20191030001809
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76711 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Technician/Technologist (Optician)
2440 W LOOP 340 STE A7
WACO, TX 76711

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 Othniel Stanberry's NPI number?

The NPI number for Othniel Stanberry is 1720590102. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Othniel Stanberry located?

Othniel Stanberry practices at 2440 W Loop 340 Ste A7, Waco, TX 76711. The listed phone number is (254) 633-4151.

What is Othniel Stanberry's specialty?

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

Is Othniel Stanberry enrolled in Medicare?

Yes. Othniel Stanberry 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 Othniel Stanberry accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Othniel Stanberry 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 Othniel Stanberry was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.