Individual provider Active NPI

Gail F Stewart, O.D.

  • Optometrist
  • Winchester, IN
National Provider Identifier
1851378459
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002205A Issued in IN
Practice address
882 E Greenville Ave
Winchester, IN 47394-8441
Phone
(765) 584-1320
Fax
(765) 584-2317
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002205A IN Primary

Addresses

Primary practice location

882 E Greenville Ave
Winchester, IN 47394-8441

Mailing address

882 E Greenville Ave
Winchester, IN 47394-8441
Phone (765) 584-1320

Other identifiers 1

IdentifierTypeStateIssuer
100095190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100212000203 IN Practitioner - Optometry 9436293537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Vision Group, LLCGroup PAC ID 8022550631, 2 clinicians

Practice addresses (Care Compare)

882 SE Greenville Ave
Winchester, IN 47394-9293
Phone (765) 584-1320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002205AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Vision Group, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients

Locations

882 SE Greenville Ave
Winchester, IN 47394
Phone (317) 584-9001

Organizations & group practices 1

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1851378459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 E GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473948441",
            "telephone_number": "765-584-1320",
            "fax_number": "765-584-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 E GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473948441",
            "telephone_number": "765-584-1320",
            "fax_number": "765-584-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GAIL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002205A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

Verify at the official NPI Registry.