Dr. Stacy Lynnette Riley, O.D.
Optometrist in Centennial, CO. Individual provider (NPI-1).
NPI number1881742070
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1881742070
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacy Lynnette Riley
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2007
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT.0001830 | CO | Yes |
| 152W00000X | Optometrist | 99183099 | CO |
Practice location
15530 E Broncos PkwySuite 200
Centennial, CO 80112-7111
Phone 303-766-2020 · Fax 303-680-8337
Mailing address
1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone 703-847-8899 · Fax 571-223-6780
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Optometrist providers in Centennial · All 4,200 providers in Centennial
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