Individual
DR. JENNIFER LYNN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
21 FOREST ST STE 8, NEW CANAAN, CT 06840-4766
(475) 558-6400
Mailing address
12 OLD FIELD RD, NORWALK, CT 06853-1119
(475) 558-6400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007154
NY
152W00000X
Optometrist
Primary
2755
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002755CT02
BLUE CROSS ID
CT
01
—
263271976
UHC
CT
01
—
P3943726
OXFORD ID#
CT
Enumeration date
09/27/2007
Last updated
10/09/2024
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