Individual provider Active NPI

V Craig Stuart, OD

  • Optometrist
  • Holbrook, AZ
National Provider Identifier
1770540601
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
229 Issued in AZ
Practice address
421 E Iowa St
Holbrook, AZ 86025-2770
Phone
(928) 524-6171
Fax
(602) 508-4830
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navajo Health Foundation-Sage Memorial Hospital, Inc. 60 clinicians

Practice addresses (Care Compare)

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051108000583 AZ Practitioner - Optometry 9739107798 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
229AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Eye Centre Optometrist CurrentSince Dec 14, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center Past Accepting new patients

Locations

421 E Iowa St
Holbrook, AZ 86025
Phone (928) 524-6171

122 W Third St
Winslow, AZ 86047
Phone (602) 289-3388

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 229 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

421 E Iowa St
Holbrook, AZ 86025-2770

Mailing address

421 E Iowa St
Holbrook, AZ 86025-2770
Phone (928) 524-6171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2008.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1770540601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E IOWA ST",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252770",
            "telephone_number": "928-524-6171",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E IOWA ST",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252770",
            "telephone_number": "928-524-6171",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "V",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, AZ

Sources for this page

Verify at the official NPI Registry.