Individual
DR. JEFFREY SCOTT STEWART
Active
Individual
DR. JEFFREY SCOTT STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3442
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129593
ANTHEM BCBS
OH
05
—
0420217
—
OH
01
—
3442
STATE LICENSE
OH
01
—
410041112
RR MEDICARE
OH
01
—
4604154
AETNA
OH
Enumeration date
01/10/2006
Last updated
03/07/2023
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