Basic Information
| Provider Information | |||||||||
| NPI: | 1225093578 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEWART | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7048388493 | ||||||||
| Practice Location | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7042953468 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 9500734 | NC | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 79856 | 01 | NC | BCBS | OTHER | N00734 | 05 | SC | MEDICAID | 000000295027 | 01 | SC | UNISON HEALTH PLAN SC | OTHER | 10277 | 01 | NC | WELLPATH | OTHER | 01152098 | 01 | SC | AMERIGROUP OF SC | OTHER | 0264730001 | 01 | PALMETTO | OTHER | 100702 | 01 | NC | WELLNESS | OTHER | 56749 | 01 | NC | MEDCOST | OTHER | 11182 | 01 | NC | PARTNERS | OTHER | 180021502 | 01 | RAILROAD MEDICARE | OTHER | 1955 | 01 | NC | DOCTORS HEALTH PLAN | OTHER | 20081 | 01 | NC | KANAWHA | OTHER | 376585 | 01 | NC | MAMSI | OTHER | 8979856 | 05 | NC | MEDICAID | 561896112Y | 01 | NC | CIGNA | OTHER | 0841436 | 01 | NC | UNITED HEATLHCARE | OTHER | 141023 | 01 | NC | COVENTRY | OTHER | 20096162 | 01 | SC | SELECT HEALTH OF SC | OTHER | 4654096 | 01 | NC | AETNA | OTHER |