Active NPI
Wesley D Stuart
- Optician
- Everett, MA
National Provider Identifier
1649601394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO6032
- Practice address
- 29 Garden St
Everett, MA 02149-4510 - Phone
- (617) 356-8117
- NPI assigned
- Dec 6, 2013
- Last updated
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | DO6032 | FL | |
| Optician | 156FX1800X | DO6032 | FL | Primary |
Addresses
Primary practice location
29 Garden St
Everett, MA 02149-4510
Mailing address
1754 Viburnum LN
Winter Park, FL 32792-2461
Phone (601) 606-4178
Other practice location 1
1900 N Orange Ave
Orlando, FL 32804-5531
Phone (407) 896-8990
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 |
|---|---|---|---|
| DO6032 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2020, Inc | Current | Accepting new patients | |
| 2020 Florida, PA | Current | Accepting new patients |
Locations
29 Garden St
Everett, MA 02149
Phone (617) 356-8117
Interoperability endpoints
- wesley.stuart@uprisedirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Plantation, FL
- NPI 1710678131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1649601394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 VIBURNUM LN",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922461",
"telephone_number": "601-606-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 GARDEN ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021494510",
"telephone_number": "617-356-8117"
}
],
"practiceLocations": [
{
"address_1": "1900 N Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328045531",
"country_code": "US",
"telephone_number": "407-896-8990",
"fax_number": "407-896-6034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUART",
"first_name": "WESLEY",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "FL",
"license": "DO6032",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO6032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.