Male or Other

Shane C. Stewart O.D.

Optometrist in Lansing, MI(View on Map)

Full Name

Shane Charles Stewart O.D.

NPI Number

1386947802

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/06/2010

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4901004615

Contact
Information

Purpose

Mailing
Location

Address

5210 TWINGING DR
533 N MARKETPLACE BLVD

City

Okemos
Lansing

State

MI
MI

Postal Code

48864-2977
48917-7735

Country

US
US

Telephone Number

(231) 878-1445
(517) 627-5403

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/03/2014

Provider Address

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