Individual provider Active NPI

Kimberly Phillips-Stewart, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1750711644
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4851 Issued in FL
Practice address
330 N Alafaya TRL
Orlando, FL 32828-7000
Phone
(407) 208-1027
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4851 FL Primary

Addresses

Primary practice location

330 N Alafaya TRL
Orlando, FL 32828-7000

Mailing address

671 W Palm Valley Dr
Oviedo, FL 32765-9225
Phone (407) 712-4258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140321001476 FL Practitioner - Optometry 9335370030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart Family Eye Care PLLCGroup PAC ID 4486910676, 2 clinicians

Practice addresses (Care Compare)

2990 Bliss CV
Suite 1020
Oviedo, FL 32765-8403
Phone (407) 890-9507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4851FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Family Eye Care, PLLC Optometrist CurrentSince Jun 28, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

2990 Bliss Cv
Oviedo, FL 32765
Phone (407) 890-9507

2990 Bliss Cv
Ste 1020
Oviedo, FL 32765
Phone (407) 890-9507

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1750711644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 W PALM VALLEY DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659225",
            "telephone_number": "407-712-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287000",
            "telephone_number": "407-208-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-STEWART",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.