Individual provider Active NPI

James B Stewart, O.D.

  • Optometrist
  • Muncie, IN
National Provider Identifier
1194702639
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002206A Issued in IN
Practice address
5091 W Bethel Ave
Muncie, IN 47304-8511
Phone
(317) 841-2020
Fax
(317) 570-7433
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002206A IN Primary

Addresses

Primary practice location

5091 W Bethel Ave
Muncie, IN 47304-8511

Mailing address

9202 N Meridian St
Indianapolis, IN 46260-1800
Phone (317) 841-2020

Other identifiers 1

IdentifierTypeStateIssuer
100094430MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.stewartod.p57@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040802001132 IN Practitioner - Optometry 0446221782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Indiana, PCGroup PAC ID 0446267876, 19 clinicians

Practice addresses (Care Compare)

5091 W Bethel Ave
Suite 150
Muncie, IN 47304-8511
Phone (317) 841-2020

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002206AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Indiana, PC Optometrist CurrentSince Nov 29, 2023 Accepting new patients
The Eye Center Group LLC Optometrist Past Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

9202 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 841-2020

5091 W Bethel Ave
Ste 150
Muncie, IN 47304
Phone (317) 841-2020

5091 W Bethel Ave
Muncie, IN 47304
Phone (317) 841-2020

Interoperability endpoints

  • Direct secure messaging: jstewart@esi.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1194702639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601800",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048511",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002206A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094430",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.stewartod.p57@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "200 N Tillotson Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473043988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.