Active NPI
James Albert Stewart, O.D.
- Pediatric Optometrist
- Fresno, CA
National Provider Identifier
1194845248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 7582T
- Practice address
- 6053 N Palm Ave
Fresno, CA 93704-1623 - Phone
- (559) 437-0777
- Fax
- (559) 437-0795
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 7582T | CA | Primary |
Addresses
Primary practice location
6053 N Palm Ave
Fresno, CA 93704-1623
Mailing address
6053 N Palm Ave
Fresno, CA 93704-1623
Phone (559) 437-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD007582 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7582T | CA | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1194845248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6053 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041623",
"telephone_number": "559-437-0777",
"fax_number": "559-437-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6053 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041623",
"telephone_number": "559-437-0777",
"fax_number": "559-437-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JAMES",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "7582T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD007582",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.