Organization Active NPI

Michael Stewart OD PLLC

  • Optometrist
  • Garland, TX
National Provider Identifier
1356594436
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61891 Issued in TX
Legal business name
MICHAEL STEWART OD PLLC
Practice address
3046 Lavon Dr. Ste 130
Garland, TX 75040
Phone
(972) 495-8998
Fax
(972) 496-1535
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Michael James Stewart, OD
Title
OD, Owner
Phone
(972) 495-8998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6189TG TX
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 61891 TX Primary

Addresses

Primary practice location

3046 Lavon Dr. Ste 130
Garland, TX 75040

Mailing address

3046 Lavon Dr. Ste 130
Garland, TX 75040
Phone (972) 495-8998

Other names 1

  • Garland Family Eye Care PA Former legal business name

National Provider Directory

National Provider Directory

Locations

3046 Lavon Dr
Ste 130
Garland, TX 75040
Phone (972) 495-8998

401 W Centerville Rd
Ste 6
Garland, TX 75041

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1356594436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 LAVON DR. STE 130",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-495-8998",
            "fax_number": "972-496-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 LAVON DR. STE 130",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-495-8998",
            "fax_number": "972-496-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STEWART OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OD, OWNER",
        "authorized_official_telephone_number": "972-495-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6189TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "61891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garland Family Eye Care PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.