MEDICARE: DR. STUART ALAN LEWIS MD

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	207W00000X	Ophthalmology Physician	23270	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180043830	OTHER	CO	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700874765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART ALAN LEWIS MD

Provider Business Mailing Address
First Line	:	4999 E KENTUCKY AVE
Second Line	:	#202
City	:	DENVER
State	:	CO
Zip	:	80246-3901
Country	:	US
Telephone Number	:	303-691-2228
Fax Number	:	303-759-9052

Provider Business Practice Location Address
First Line	:	4999 E KENTUCKY AVE
Second Line	:	#202
City	:	DENVER
State	:	CO
Zip	:	80246-3901
Country	:	US
Telephone Number	:	303-691-2228
Fax Number	:	303-759-9052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	01/28/2013

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Directions to “ DR. STUART ALAN LEWIS MD” Practice Location

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