IndividualActive
Stacey Illikal, OD
NPI 1780257626 · Optometrist · St Petersburg, FL
Stacey Illikal, OD is a Optometrist provider in St Petersburg, FL (NPI 1780257626).
Provider details
- NPI number
- 1780257626
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- OPC5958 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3301 4th St N
St Petersburg, FL 33704-1305
Phone: (727) 821-9540
Fax: (727) 823-1487
Street-level locationGet directions
Mailing address
4112 Imperial Eagle Dr
Valrico, FL 33594-3965
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Frequently asked questions
- What is Stacey Illikal's NPI number?
- Stacey Illikal's National Provider Identifier (NPI) is 1780257626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Illikal's specialty?
- Stacey Illikal is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Stacey Illikal located?
- Stacey Illikal's practice location on file with NPPES is 3301 4th St N, St Petersburg, FL 33704-1305.
- What is Stacey Illikal's phone number?
- The practice phone number listed in the NPPES registry for Stacey Illikal is (727) 821-9540.
- Is Stacey Illikal's NPI active?
- Yes — Stacey Illikal's NPI (1780257626) is active in the NPPES registry as of the last update on 2021-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.