Alisa K Stewart, OPTICIAN

Primary specialty

OptometristTaxonomy code 152W00000X

License

156FX1800X Issued in WY

Practice address

424 Yellowstone Ave
Suite 110
Cody, WY 82414-9318

Phone

(307) 587-5788

NPI assigned

Jul 22, 2008

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1467617266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 110",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149318",
            "telephone_number": "307-587-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 110",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149318",
            "telephone_number": "307-587-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ALISA",
        "middle_name": "K",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "156FX1800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113960600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Stebleton
• Timothy P Stecker, MPT
• Sandra Lee Steranko
• Cassidy Anne Steward, FNP
• Julie D Steward, C-ACNP
• Gregory S Stewart, M.D.
• Layne Vaughan Stewart, PHARM D
• Misty Dawn Streeter
• Ashle Rene' Stroble, MD
• Samantha Strow

• Optometrist in Cody, WY
• Providers in Cody, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.