Active NPI
Bernard Vaughan Stewart, LDO-LICENSED DISPENS
- Optician
- Seattle, WA
National Provider Identifier
1528337540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO00000558
- Practice address
- 801 Broadway
Seattle, WA 98122 - Phone
- (360) 668-5228
- Fax
- (360) 668-4120
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO00000558 | WA | Primary |
Addresses
Primary practice location
801 Broadway
Seattle, WA 98122
Mailing address
801 Broadway - First Floor
Stewart Optical Services
Seattle, WA 98122
Phone (360) 668-5228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO00000558 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1528337540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY - FIRST FLOOR",
"address_2": "STEWART OPTICAL SERVICES",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "360-668-5228",
"fax_number": "360-668-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "360-668-5228",
"fax_number": "360-668-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BERNARD",
"middle_name": "VAUGHAN",
"name_prefix": "Mr.",
"credential": "LDO-LICENSED DISPENS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "DO00000558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.