MEDICARE: STEWART FAMILY EYE CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC4852	FL

General Provider Information

NPI Number	:	1750824439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEWART FAMILY EYE CARE, PLLC

Provider Business Mailing Address
First Line	:	2990 BLISS COVE SUITE 1020
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9225
Country	:	US
Telephone Number	:	407-890-9507
Fax Number	:	407-890-9509

Provider Business Practice Location Address
First Line	:	2990 BLISS CV
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8403
Country	:	US
Telephone Number	:	479-270-9090
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	CHRIS STEWART
Credential	:	OD
Telephone Number	:	407-890-9507

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	02/13/2018

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