Individual provider Active NPI

Royann Stewartdavis

  • Optometric Technician
  • Elizabethtown, PA
National Provider Identifier
1932078557
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric TechnicianTaxonomy code 156FX1202X
Practice address
3104 James Buchanan Dr
Elizabethtown, PA 17022-3175
Phone
(724) 389-7830
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1202X Primary

Addresses

Primary practice location

3104 James Buchanan Dr
Elizabethtown, PA 17022-3175

Mailing address

3104 James Buchanan Dr
Elizabethtown, PA 17022-3175

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

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1932078557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 JAMES BUCHANAN DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170223175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 JAMES BUCHANAN DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170223175",
            "telephone_number": "724-389-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARTDAVIS",
        "first_name": "ROYANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.