Active NPI
William Charles Stewart, MD
- Ophthalmology Physician
- Cheyenne, WY
National Provider Identifier
1770722845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD 13529
- Practice address
- 109 E 17TH St
Suite 3407
Cheyenne, WY 82001-4543 - Phone
- (843) 606-0776
- Fax
- (888) 808-9564
- NPI assigned
- Feb 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD 13529 | SC | Primary |
Addresses
Primary practice location
109 E 17TH St
Suite 3407
Cheyenne, WY 82001-4543
Mailing address
15 Vintage Canyon St
Las Vegas, NV 89141-6044
Phone (843) 327-0316
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 13529 | SC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421539200000",
"number": "1770722845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 VINTAGE CANYON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891416044",
"telephone_number": "843-327-0316",
"fax_number": "888-808-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 17TH ST",
"address_2": "SUITE 3407",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014543",
"telephone_number": "843-606-0776",
"fax_number": "888-808-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2015-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "MD 13529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.