Doug Hugh Stewart, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO3413 Issued in FL

Practice address

1550 Riverside Ave
Jacksonville, FL 32204-4161

Phone

(904) 354-1021

Fax

(904) 355-7840

NPI assigned

Jan 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Doug Hugh Stewart Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1669658480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044161",
            "telephone_number": "904-354-1021",
            "fax_number": "904-355-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044161",
            "telephone_number": "904-354-1021",
            "fax_number": "904-355-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DOUG",
        "middle_name": "HUGH",
        "name_prefix": "Mr.",
        "credential": "L.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "06704100001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUG",
            "last_name": "STEWART",
            "middle_name": "HUGH",
            "prefix": "MR.",
            "credential": "L.D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Erica Stewart, BCBA
• Chelsea Alyssa Stewart, LMHC
• Christopher Wayne Stewart, LPN
• Dawn Christine Stewart, MSW, LCSW
• Deborah G Stewart, M.D.
• Eric Blaine Stewart, M.D.
• Grady C Stewart, MD
• Herbert Lee Stewart
• James Hannis Stewart, M.D.
• Kimberly Monica Stewart, LCSW

• Optician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.