Active NPI
Lawrence C Stewart, MD
- Ophthalmology Physician
- Liverpool, NY
National Provider Identifier
1639254196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 154663-0
- Practice address
- 5100 W Taft Rd
Suite 4M
Liverpool, NY 13088-3807 - Phone
- (315) 362-3937
- Fax
- (315) 458-7818
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 154663-0 | NY | Primary |
Addresses
Primary practice location
5100 W Taft Rd
Suite 4M
Liverpool, NY 13088-3807
Mailing address
5100 W Taft Rd
Suite 4M
Liverpool, NY 13088-3807
Phone (315) 362-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01025878 | Medicaid | NY | |
| 154-663-9 | Other | NY | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154663-0 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons of Central New York, PC | Ophthalmology | Current | Accepting new patients |
| Ophthalmology Medical Service Group Inc | Ophthalmology | Current | Accepting new patients |
Locations
5100 W Taft Rd
Ste 4M
Liverpool, NY 13088
Phone (315) 362-3937
550 Harrison St
Ste 340
Syracuse, NY 13202
Phone (315) 464-5230
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Liverpool, NY
- NPI 1881725810
-
- Ophthalmology Physician
- Syracuse, NY
- NPI 1225072051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639254196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"address_2": "SUITE 4M",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-362-3937",
"fax_number": "315-458-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"address_2": "SUITE 4M",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-362-3937",
"fax_number": "315-458-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LAWRENCE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "154663-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01025878",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "154-663-9",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.