Organization Active NPI

Stewart Family Eye Care, PLLC

  • Optometrist
  • Oviedo, FL
National Provider Identifier
1750824439
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4852 Issued in FL
Legal business name
STEWART FAMILY EYE CARE, PLLC
Practice address
2990 Bliss CV
Oviedo, FL 32765-8403
Phone
(479) 270-9090
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Chris Stewart, OD
Title
Owner/Manager
Phone
(407) 890-9507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4852 FL Primary

Addresses

Primary practice location

2990 Bliss CV
Oviedo, FL 32765-8403

Mailing address

2990 Bliss Cove Suite 1020
Oviedo, FL 32765-9225
Phone (407) 890-9507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103000531 FL Part B Supplier - Clinic/Group Practice 4486910676 Receives reassigned benefits from 2 practitioners
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1750824439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 BLISS COVE SUITE 1020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659225",
            "telephone_number": "407-890-9507",
            "fax_number": "407-890-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 BLISS CV",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658403",
            "telephone_number": "479-270-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "407-890-9507",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.