TARA STACEY OD
NPI 1760903181
Optometrist in Ann Arbor, MI
About Tara Stacey Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA STACEY OD (NPI 1760903181) is an individual optometrist in Ann Arbor, Michigan, licensed in Michigan (4901005168) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Stacey Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Stacey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mason, OH 45040
- Reassigned Medicare billing, Michigan enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tara Stacey's NPI number?
The NPI number for Tara Stacey is 1760903181. It was assigned to this individual provider in the NPPES registry on July 6, 2017.
Where is Tara Stacey located?
Tara Stacey practices at 324 Briarwood Cir # F154, Ann Arbor, MI 48108. The listed phone number is (734) 994-6464.
What is Tara Stacey's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tara Stacey enrolled in Medicare?
Yes. Tara Stacey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Stacey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Stacey reassigns Medicare benefits to Luxottica Of America Inc (Mason, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Stacey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Stacey accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 2 other insurers list Tara Stacey 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 Tara Stacey was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tara Stacey, OD · NPI 1760903181
Optometrist provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since July 6, 2017.
## Identity
- **NPI:** 1760903181 (Entity type: Individual)
- **Enumerated:** July 6, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005168 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 324 BRIARWOOD CIR # F154, Ann Arbor, MI 48108
- **Phone:** (734) 994-6464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Luxottica Of America Inc (NPI 1689711046, Mason, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ferris State College - College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** May 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1760903181) · Data from the CMS NPPES public registry.