Provider Demographics
NPI:1972933869
Name:STEWART, CHRISTOPHER BARRETT (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BARRETT
Last Name:STEWART
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 W PALM VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9225
Mailing Address - Country:US
Mailing Address - Phone:407-247-7306
Mailing Address - Fax:
Practice Address - Street 1:2990 BLISS CV
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8403
Practice Address - Country:US
Practice Address - Phone:407-890-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist