J. Scott Stewart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3442 Issued in OH

Legal business name

J. SCOTT STEWART, O.D.

Practice address

122 W Front St
Suite F
Perrysburg, OH 43551-1467

Phone

(419) 874-8164

Fax

(419) 874-1295

NPI assigned

Sep 26, 2008

Last updated

Oct 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Scott Stewart, O.D.

Title

Optometrist/Owner

Phone

(419) 874-8164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1528218542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W FRONT ST",
            "address_2": "SUITE F",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511467",
            "telephone_number": "419-874-8164",
            "fax_number": "419-874-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W FRONT ST",
            "address_2": "SUITE F",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511467",
            "telephone_number": "419-874-8164",
            "fax_number": "419-874-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SCOTT STEWART, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "419-874-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.