Active NPI
Angela Fowler Stewart, O.D.
- Optometrist
- Roanoke, VA
National Provider Identifier
1124068606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001242
- Practice address
- 4807 Valley View Blvd NW
Roanoke, VA 24012-2018 - Phone
- (540) 265-7420
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001242 | VA | Primary |
Addresses
Primary practice location
4807 Valley View Blvd NW
Roanoke, VA 24012-2018
Mailing address
1430 Crutchfield St
Roanoke, VA 24019-4419
Phone (540) 400-7977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061012000617 | VA | Practitioner - Optometry | 8325044423 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dr Neal S Jessup Optometrist PCBlink Optometry PC
Practice addresses (Care Compare)
2205 Orange Ave NE
Roanoke, VA 24012-8305
Phone (540) 343-2197
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001242 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blink Optometry PC | Optometrist | Current | Accepting new patients |
| Kartesz Family Eye Care Inc | Optometrist | Current | Accepting new patients |
| Dovie Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| Dr Neal S Jessup Optometrist PC | Optometrist | Current | Accepting new patients |
| Angela F. Stewart, O.D., P.C. | Optometrist | Past | Accepting new patients |
| David M Harman MD LLC | Optometrist | Past | Accepting new patients |
| Becker Eye Care Center, LLC | Optometrist | Past | Accepting new patients |
Locations
1440 S Main St
Ste 100
Blacksburg, VA 24060
Phone (540) 381-7334
2205 Orange Ave NE
Roanoke, VA 24012
Phone (540) 343-2197
365 Tanyard Rd
Rocky Mount, VA 24151
Phone (540) 483-5256
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Roanoke, VA
- NPI 1376352252
-
- Optometrist
- Roanoke, VA
- NPI 1437206125
-
- Optometrist
- Blacksburg, VA
- NPI 1710136965
-
- Optometrist
- Rocky Mount, VA
- NPI 1073869202
-
- Optometrist
- Roanoke, VA
- NPI 1396764684
-
- Optometrist
- Hampton, VA
- NPI 1720261886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124068606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 CRUTCHFIELD ST",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194419",
"telephone_number": "540-400-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 VALLEY VIEW BLVD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240122018",
"telephone_number": "540-265-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ANGELA",
"middle_name": "FOWLER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.