Individual provider Active NPI

Jean M Stewart, O.D.

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1083658207
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13-0001212 Issued in DE
Practice address
3501 Silverside Road
Wilmington, DE 19810-4910
Phone
(302) 479-3937
Fax
(302) 477-2650
NPI assigned
Jun 16, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 130001212 DE
Optometrist 152W00000X 13-0001212 DE Primary

Addresses

Primary practice location

3501 Silverside Road
Wilmington, DE 19810-4910

Mailing address

3501 Silverside Road
Wilmington, DE 19810-4910
Phone (302) 479-3937

Other identifiers 1

IdentifierTypeStateIssuer
1000038674MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000341 DE Practitioner - Optometry 0547275034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 205
Wilmington, DE 19808-5400
Phone (302) 479-3937

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-0001212DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Ophthalmology Consultants PA Optometrist CurrentSince Jan 23, 2006 Accepting new patients
Delaware Ophthalmology Consultants PA Optometrist CurrentSince Jan 23, 2006 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2006 Accepting new patients

Locations

272 Carter Dr
Ste 100
Middletown, DE 19709
Phone (302) 477-2626

1941 Limestone Rd
Ste 205
Wilmington, DE 19808
Phone (302) 479-3937

3501 Silverside Rd
Wilmington, DE 19810
Phone (302) 479-3937

3509 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-2621

Interoperability endpoints

  • Direct secure messaging: jstewart@doc.intellechartdirect.net
  • Direct secure messaging: jstewart@doc1004.srs-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1083658207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "130001212",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "13-0001212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038674",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.