Stewart, Dale D.
Stewart, Dale D. is an sole proprietor health care provider with primary practice located at 2200 W Main St #A160, Durham NC 27705-4640. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Stewart, Dale D. can be contacted via phone (919) 286-2912.Contact Information
Primary practice address
2200 W Main St #A160
Durham NC 27705-4640
Phone: (919) 286-2912
Fax: (919) 286-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1108 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1108 | North Carolina |
Profile Details
| NPI number | 1255330254 |
|---|---|
| LBN Legal business name | Stewart, Dale D. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Nov 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255330254 | NPPES |
| North Carolina | MEDICAID | 8909867 |
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