Active NPI
Angus Bynon Stewart, M.D.
- Ophthalmology Physician
- Eureka, CA
National Provider Identifier
1497084933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- GFE6797
- Practice address
- 77 Sole Street
Eureka, CA 95503 - Phone
- (707) 443-9637
- NPI assigned
- Dec 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | GFE6797 | CA | Primary |
Addresses
Primary practice location
77 Sole Street
Eureka, CA 95503
Mailing address
77 Sole Street
Eureka, CA 95503
Phone (707) 443-9637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE6797 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1497084933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SOLE STREET",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-443-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 SOLE STREET",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-443-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ANGUS",
"middle_name": "BYNON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "GFE6797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.