Individual provider Active NPI

Angela Fowler Stewart, O.D.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1124068606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001242 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 1658303953, 2 clinicians
Blink Optometry PCGroup PAC ID 6800301839, 2 clinicians

Practice addresses (Care Compare)

2205 Orange Ave NE
Roanoke, VA 24012-8305
Phone (540) 343-2197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001242VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blink Optometry PC Optometrist CurrentSince Apr 4, 2025 Accepting new patients
Kartesz Family Eye Care Inc Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Dovie Eye Care, Inc. Optometrist CurrentSince Sep 13, 2013 Accepting new patients
Dr Neal S Jessup Optometrist PC Optometrist CurrentSince Sep 16, 2013 Accepting new patients
Angela F. Stewart, O.D., P.C. Optometrist PastSince Jul 1, 2006 Accepting new patients
David M Harman MD LLC Optometrist Past Accepting new patients
Becker Eye Care Center, LLC Optometrist PastSince Aug 20, 2004 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.

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

Verify at the official NPI Registry.