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Active NPI 1164126793 Individual Practitioner Female Practitioner

Dr. Molly June Stacks , OD

Optometrist • Edwardsville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Molly Stacks, OD is a certified Optometrist practicing in Edwardsville, IL. With approximately 3 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2023, Dr. Stacks delivers high-quality medical care to the local community at 2121 S STATE ROUTE 157.

Dr. Stacks is affiliated with Clarkson Optometry Illinois, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2121 S State Route 157

Edwardsville, IL 620253691

Telephone 6186567774
Fax 6186560536
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Edwardsville, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -13.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Edwardsville, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stacks (3 Years) 3 Yrs
Edwardsville Specialty Average (16.5 Years) 16.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
45 40 $148.73 $88.41
92014 Established patient complete exam of visual system
39 39 $165.00 $118.48
92004 New patient complete exam of visual system
33 33 $199.00 $140.66
92134 Imaging of retina
11 11 $77.83 $37.42

Medical Specialties & State Licenses

CMS Verified: 2024-03-11
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.011735

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Clarkson Optometry Illinois, Pc

2121 S State Route 157, Edwardsville, IL 620253691

Phone: 6186567774

Secondary Practice Locations

10 Lincoln Hwy Ste 101

Fairview Heights, IL 622082100

Phone: 6186240222

3405 Nameoki Rd

Granite City, IL 620403709

Phone: 6182198909

6663 Edwardsville Crossing Dr

Edwardsville, IL 620252704

Phone: 6186592320

12603 State Route 143 Ste F

Highland, IL 622491199

Phone: 6188824262

1819 Homer M Adams Pkwy

Alton, IL 620025606

Phone: 6182080585

601 Belt Line Rd

Collinsville, IL 622344400

Phone: 6182235212

2645 N Illinois St

Swansea, IL 622262302

Phone: 6187675100

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1265504443

Doctor of Optometry

NPI 1316086580

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Business Mailing Address July 24, 2023

Registered at PO BOX 207163, DALLAS, TX 753207163 (Tel: 6362004393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Optometrist (License #046.011735 in IL)

NPI Profile Active March 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2023

Registered at 2121 S STATE ROUTE 157, EDWARDSVILLE, IL 620253691 (Tel: 6186567774)

📍
Updated Business Mailing Address March 28, 2023

Registered at 22 HICKORY PT, MORO, IL 620671634 (Tel: 6186969208)

👤
Provider Name / Credentials Updated March 28, 2023

Recorded as MOLLY STACKS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2023

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: 1164126793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2023
Last Update: March 11, 2024
Sole Proprietor: No

Mailing Address

Po Box 207163

Dallas, TX 753207163

Phone: 6362004393

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.