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Deactivated NPI 1336734854 Deactivated / Inactive NPI Male Practitioner

Richard Wayne Stacy , ABOC

Technician/Technologist - Optician • Placerville, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Richard Stacy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2021
NPI Deactivation Date May 08, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Richard Stacy, ABOC was a registered Technician/Technologist - Optician practicing in Placerville, CA. Throughout an active medical career spanning 3 years, Richard Stacy provided care at the practice location at 2920 COLD SPRINGS RD STE B until profile deactivation on 2024-05-08.

Practice Location & Contact Primary Location

Practice Address

2920 Cold Springs Rd Ste B

Placerville, CA 956674236

Telephone 5306267460
Associated Practice Facility / Clinic
🏢 Visually Sound Optometry Facility NPI 1699201087

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Placerville, CA (356 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License CA 12345

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1508850132

Doctor of Optometry

NPI 1750424461

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 08, 2024

Record deactivated on May 08, 2024

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2021

Registered at 2920 COLD SPRINGS RD STE B, PLACERVILLE, CA 956674236 (Tel: 5306267460)

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Updated Business Mailing Address March 05, 2021

Registered at 2920 COLD SPRINGS RD STE B, PLACERVILLE, CA 956674236 (Tel: 5306267460)

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Provider Name / Credentials Updated March 05, 2021

Recorded as RICHARD STACY, ABOC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Technician/Technologist (License #12345 in CA)

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Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336734854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: March 05, 2021
Deactivation Date: May 08, 2024

Mailing Address

2920 Cold Springs Rd Ste B

Placerville, CA 956674236

Phone: 5306267460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.