Stewart Family Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004160 Issued in MI

Legal business name

STEWART FAMILY EYE CARE PC

Practice address

601 S Garfield Ave
Ste a
Traverse City, MI 49686-5501

Phone

(231) 947-2020

Fax

(231) 947-2002

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edward G Stewart, OD

Title

Optometrist/Owner

Phone

(231) 947-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1114904588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GARFIELD AVE",
            "address_2": "STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865501",
            "telephone_number": "231-947-2020",
            "fax_number": "231-947-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GARFIELD AVE",
            "address_2": "STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865501",
            "telephone_number": "231-947-2020",
            "fax_number": "231-947-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "231-947-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944697888",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Joraka Stevens
• Tracey Ann Stevens, LMSW
• Margaret Stevenson, PA
• Nancy Stevenson, LMSW
• Robert F Stevenson, MD
• Edward Granville Stewart, OD
• Jonathon Burroughs Stewart, LMT
• Madison Lorraine Stewart
• Magdalena Anna Stewart, DNP, AGPCNP-BC
• Tate Stewart, BA

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.