Individual provider Active NPI

Brad C Stewart, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1497782437
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
217 Issued in NV
Practice address
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone
(702) 731-2088
Fax
(702) 734-7836
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 217 NV Primary

Addresses

Primary practice location

3575 Pecos McLeod
Las Vegas, NV 89121-3803

Mailing address

50 S Stephanie St Ste 101
Henderson, NV 89012-5731
Phone (702) 202-4776

Other practice location 1

9100 W Post Rd
Las Vegas, NV 89148-2418
Phone (702) 731-2088

Other practice location 2

2475 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-5946
Phone (702) 731-2088

Other practice location 3

6850 N Durango Dr Ste 404
Las Vegas, NV 89149-4598
Phone (702) 731-2088

Other practice location 4

2100 N Rampart Blvd
Las Vegas, NV 89128-7639
Phone (702) 731-2088

Other identifiers 1

IdentifierTypeStateIssuer
1497782437MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1497782437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEPHANIE ST STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125731",
            "telephone_number": "702-202-4776",
            "fax_number": "702-202-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 PECOS MCLEOD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213803",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 W Post Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482418",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 W Horizon Ridge Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525946",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494598",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N Rampart Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891287639",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRAD",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497782437",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.