Individual
DR. DALE D. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2200 W MAIN ST, #A160, DURHAM, NC 27705-4640
(919) 286-2912
(919) 286-1125
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1108
NC
152WC0802X
Corneal and Contact Management Optometrist
1108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909867
—
NC
Enumeration date
07/20/2005
Last updated
11/06/2020
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