Kayla Ashley Stewart, O.D., M.ED.

Individual provider Active NPI Pediatric Optometrist · Laurel, MT

NPI 1104135284 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1104135284
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Optometrist 152WP0200X
License
OPT-OPT-LIC-1923 (MT)
Practice address
101 Bernhardt Rd
Laurel, MT 59044-8702
Phone
(406) 628-1767
Fax
(406) 628-1769
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1923MTMDOptometrist
OPT-OPT-LIC-1923MTMDPediatric Optometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1923 MT
Pediatric Optometrist 152WP0200X OPT-OPT-LIC-1923 MT Yes

Addresses

Primary practice location

101 Bernhardt Rd
Laurel, MT 59044-8702

Mailing address

PO Box 59
Joliet, MT 59041-0059
Phone (971) 322-6531

Other providers in Laurel, MT

All providers in Laurel, MT · Pediatric Optometrist in Montana

Sources for this page

Verify at the official NPI Registry.