Individual provider Active NPI

Emma Delise Stewart-Bates, OD, MS

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1790369924
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6604 Issued in FL
Practice address
2677 SW 87TH Dr
Gainesville, FL 32608-9383
Phone
(352) 448-3932
NPI assigned
May 12, 2021
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6604 FL Primary

Addresses

Primary practice location

2677 SW 87TH Dr
Gainesville, FL 32608-9383

Mailing address

2677 SW 87TH Dr
Gainesville, FL 32608-9383
Phone (352) 448-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211130002376 TX Practitioner - Optometry 7911397211 Reassigns benefits to 1 organization
I20220517000234 MI Practitioner - Optometry 7911397211 Reassigns benefits to 1 organization
I20250915004356 FL Practitioner - Optometry 7911397211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 NW 10TH Ave
Gainesville, FL 32601-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 24, 2021 Accepting new patients
Pcor LLC Optometrist CurrentSince May 9, 2022 Accepting new patients
Gainesville Vision LLC Optometrist CurrentSince Aug 21, 2025 Accepting new patients
Pcor, LLC Optometrist CurrentSince May 9, 2022 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Aug 24, 2021 Accepting new patients

Locations

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Interoperability endpoints

  • Direct secure messaging: estewartbates@optimeyes.emadirect.md
  • Direct secure messaging: estewartbates802102@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1790369924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089383",
            "telephone_number": "352-448-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089383",
            "telephone_number": "352-448-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-BATES",
        "first_name": "EMMA",
        "middle_name": "DELISE",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.