Individual provider Active NPI

Ryan Craig Stuart, O.D.

  • Optometrist
  • Holbrook, AZ
National Provider Identifier
1316912868
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1414 Issued in AZ
Practice address
421 E Iowa St
Holbrook, AZ 86025-2770
Phone
(928) 524-6171
Fax
(928) 524-3963
NPI assigned
Feb 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1414 AZ Primary

Addresses

Primary practice location

421 E Iowa St
Holbrook, AZ 86025-2770

Mailing address

PO Box 760
Holbrook, AZ 86025-0760
Phone (928) 524-6171

Other identifiers 2

IdentifierTypeStateIssuer
983876MedicaidAZ
1414OtherAZSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090122000516 AZ Practitioner - Optometry 3577585876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Eye CentreGroup PAC ID 0042445439, 2 clinicians

Practice addresses (Care Compare)

122 W 3Rd St
Winslow, AZ 86047-3647
Phone (928) 289-3388

421 E Iowa St
Holbrook, AZ 86025-2770
Phone (928) 524-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1414AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Troy S Ford OD PC Optometrist Past Accepting new patients
White Mountain Eye Care Center PC Optometrist PastSince Feb 8, 1998 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316912868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860250760",
            "telephone_number": "928-524-6171",
            "fax_number": "928-524-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E IOWA ST",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252770",
            "telephone_number": "928-524-6171",
            "fax_number": "928-524-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "RYAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983876",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1414",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, AZ

Sources for this page

Verify at the official NPI Registry.