Provider Demographics
NPI:1164409371
Name:STEWARD, DON A (OD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:A
Last Name:STEWARD
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 1:449 10TH ST NE
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47441-1544
Mailing Address - Country:US
Mailing Address - Phone:812-384-5141
Mailing Address - Fax:
Practice Address - Street 1:449 10TH ST NE
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:IN
Practice Address - Zip Code:47441-1544
Practice Address - Country:US
Practice Address - Phone:812-384-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001451B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN00000079066OtherBLUE CROSS BLUE SHIELD
IN100280650AMedicaid
IN100280650AMedicaid
IN0294400002Medicare NSC
IN00000079066OtherBLUE CROSS BLUE SHIELD