Active NPI
Tonya Cannon Stewart, OD, PLLC
- Optometrist
- Clinton, MS
National Provider Identifier
1093955262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 640
- Legal business name
- TONYA CANNON STEWART, OD, PLLC
- Practice address
- 45 West Lakeview Drive
Clinton, MS 39056-5221 - Phone
- (601) 925-2020
- Fax
- (601) 925-2010
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tonya Cannon Stewart, OD
- Title
- Owner
- Phone
- (601) 925-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 640 | MS | Primary |
Addresses
Primary practice location
45 West Lakeview Drive
Clinton, MS 39056-5221
Mailing address
45 West Lakeview Drive
Clinton, MS 39056-5221
Phone (601) 925-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410000282 | Other | MS | MEDICARE ID- |
| 00880126 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
45 Lakeview Dr
Clinton, MS 39056
Phone (601) 925-2020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Clinton, MS
- NPI 1962509620
-
- Optometrist
- Clinton, MS
- NPI 1326877846
-
- Optometrist
- Flowood, MS
- NPI 1114467172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430870400000",
"number": "1093955262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WEST LAKEVIEW DRIVE",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565221",
"telephone_number": "601-925-2020",
"fax_number": "601-925-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 WEST LAKEVIEW DRIVE",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565221",
"telephone_number": "601-925-2020",
"fax_number": "601-925-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONYA CANNON STEWART, OD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2015-05-06",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "CANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-925-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-",
"identifier": "410000282",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880126",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.