Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Molly June Stacks, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164126793

Molly June Stacks, OD is an Optometry in Edwardsville, Illinois. Graduated from University of Missouri St Louis - School of Optometry in 2023, 3 years ago. Practices with Clarkson Optometry Illinois, PC, a 16-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2121 S State Route 157
Edwardsville, IL 62025-3691
Phone: (618) 656-7774
Fax: (618) 656-0536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 1819 Homer M Adams Pkwy, Alton, IL 62002-5606 — (618) 208-0585
  • 601 Belt Line Rd, Collinsville, IL 62234-4400 — (618) 223-5212
  • 6663 Edwardsville Crossing Dr, Edwardsville, IL 62025-2704 — (618) 659-2320
  • 10 Lincoln Hwy Ste 101, Fairview Heights, IL 62208-2100 — (618) 624-0222
  • 3405 Nameoki Rd, Granite City, IL 62040-3709 — (618) 219-8909
  • 12603 State Route 143 Ste F, Highland, IL 62249-1199 — (618) 882-4262
  • 2645 N Illinois St, Swansea, IL 62226-2302 — (618) 767-5100

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.011735 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164126793
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing addressPo Box 207163, Dallas, TX 75320-7163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Clarkson Optometry Illinois, Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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