Kimberly J Stewart

Primary specialty

OptometristTaxonomy code 152W00000X

License

3737T Issued in TX

Practice address

6221 Slide Rd
Lubbock, TX 79414-4611

Phone

(806) 791-3937

Fax

(806) 799-6069

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• JSK Eyecare

  • Optometrist
  • Del Rio, TX
  • NPI 1932733110
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1396861167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901N BEDELL AVE E",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404170",
            "telephone_number": "830-775-2020",
            "fax_number": "830-775-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144611",
            "telephone_number": "806-791-3937",
            "fax_number": "806-799-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3737T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Stevens
• Trevor Ashley Stevenson
• Allison Stewart
• Channing Stewart, PT, DPT
• Hannah Stewart, MS, LPC
• Megan Stewart, PT
• Misty M Stewart, R.PH
• Nickie Diane Stewart
• Rebecca J'Lin Stewart, FNP
• Tonya Stewart, OT

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.