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Active NPI 1093756371 Individual Practitioner Male Practitioner

Dr. Kenneth L. Stack , OD

Optometrist • Albany, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Stack, OD is a certified Optometrist practicing in Albany, NY. With approximately 41 years of clinical experience since graduating from State University Of New York - State College Optometry in 1985, Dr. Stack delivers high-quality medical care to the local community at 24 ROSEMONT ST.

Dr. Stack accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient problem focused 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

24 Rosemont St

Albany, NY 122032405

Telephone 5184386669
Fax 5184894372
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of New York - State College Optometry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Albany, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +18.1 yrs vs City Avg
City Avg: 22.9 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Albany, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
4.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (41 Years) 41 Yrs
Albany Specialty Average (22.9 Years) 22.9 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
92014 Established patient complete exam of visual system
196 193 $130.05 $119.24
92004 New patient complete exam of visual system
15 15 $130.00 $128.34

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV004607-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
931291 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Frank Cirillo

Technician/Technologist - Optician

NPI 1144556929

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2011

Registered at 24 ROSEMONT ST, ALBANY, NY 122032405 (Tel: 5184386669)

📍
Updated Business Mailing Address October 24, 2011

Registered at 24 ROSEMONT ST, ALBANY, NY 122032405 (Tel: 5184386669)

👤
Provider Name / Credentials Updated October 24, 2011

Recorded as KENNETH STACK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Optometrist (License #TUV004607-1 in NY)

🟢
Initial NPI Registration & Enumeration June 09, 2006

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: 1093756371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: October 24, 2011
Sole Proprietor: Yes

Mailing Address

24 Rosemont St

Albany, NY 122032405

Phone: 5184386669

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.