Individual provider Active NPI

Floyd Stewart III, O.D.

  • Optometrist
  • Smithfield, NC
National Provider Identifier
1437172053
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1967 Issued in NC
Practice address
1299 N Brightleaf Blvd
Smithfield, NC 27577-4251
Phone
(919) 934-2705
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1967 NC Primary

Addresses

Primary practice location

1299 N Brightleaf Blvd
Smithfield, NC 27577-4251

Mailing address

1299 N Brightleaf Blvd
Smithfield, NC 27577-4251
Phone (919) 934-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051101001150 NC Practitioner - Optometry 7517984123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1299 N Brightleaf Blvd
Smithfield, NC 27577-4251
Phone (919) 989-8522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1967NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Optometry Group, PA Optometrist CurrentSince Jan 1, 2009 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Stewart Optometry Group, PA Optometrist Past Accepting new patients
Stewart Optometry Group, PA Optometrist Past Accepting new patients
The Eye Center, Doctors of Optometry, P.a. Optometrist Past Accepting new patients

Locations

1299 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-2705

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1437172053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774251",
            "telephone_number": "919-934-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774251",
            "telephone_number": "919-934-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "FLOYD",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.