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MRS. STACY U CARSON O. D.
NPI 1871530964
Optometrist in Conyers, GA

Active since May 31, 2006PECOS Enrolled
805 COMMERCE DR SW, SUITE A, CONYERS, GA 30094(770) 483-4831(770) 483-4840 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Stacy U Carson O. D. NPPES

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

MRS. STACY U CARSON O. D. (NPI 1871530964) is an individual optometrist in Conyers, Georgia, licensed in Georgia (1622) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1871530964
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. STACY U CARSONCredential: O. D.
Location Address805 COMMERCE DR SW, SUITE AConyers, GA 30094-6606
Mailing Address805 Commerce Dr Sw, Suite AConyers, GA 30094-6606 · (770) 483-4831 · Fax (770) 483-4840
Phone(770) 483-4831
Fax(770) 483-4840
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1871530964 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 GA · 1622
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.
805 COMMERCE DR SW, Conyers, GA 30094
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Other Names 1

Former Name (1)Ms. Stacy R Underwood O. D.

Other Identifiers 5

Other52718823001GA · Bluecross Blueshield
Other5801653GA · Aetna
Other410036767Railroad Medicare
Medicare ID-Type Unspecified41ZCDGMGA
Medicare UPINU69032GA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy U Carson O. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941200802
PECOS Enrollment IDI20061228000219
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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T. T Underwood, Inc.
Same address
Optometrist
805 COMMERCE DR SW, SUITE A
Conyers, GA 30094
  • Reassigned Medicare billing, Georgia enrollment
NPI 1447387774 (770) 483-4831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
76 services76 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
30 services28 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
23 services21 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30094 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 2

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

T. T UNDERWOOD, INC.
Optometrist
805 COMMERCE DR SW, SUITE A
CONYERS, GA 30094
Rockdale County (770) 483-4831
MR. TERRELL THOMPSON UNDERWOOD L.D.O.
Technician/Technologist (Optician)
805 COMMERCE DR SW, SUITE A
CONYERS, GA 30094
Rockdale County (770) 483-4831

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 Stacy Carson's NPI number?

The NPI number for Stacy Carson is 1871530964. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Ms. Stacy R Underwood O. D..

Where is Stacy Carson located?

Stacy Carson practices at 805 Commerce Dr SW Suite A, Conyers, GA 30094. The listed phone number is (770) 483-4831.

What is Stacy Carson's specialty?

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

Is Stacy Carson enrolled in Medicare?

Yes. Stacy Carson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Carson reassigns Medicare benefits to T. T Underwood, Inc. (Conyers, GA). 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 Stacy Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Carson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Stacy Carson 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 Stacy Carson was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.