| |
3636 N Lecanto Hwy, Beverly Hills, FL 34465-3513 | |
(352) 746-0800 | |
(352) 527-1358 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 3636 N Lecanto Hwy, Beverly Hills, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538367131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2301 (Florida) | Primary |
Provider Name | Jay D Newcomer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932247954 PECOS PAC ID: 5890810444 Enrollment ID: I20100920000419 |
Provider Name | Macon Dale Newcomer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073174405 PECOS PAC ID: 3678809381 Enrollment ID: I20210621002909 |
Mailing Address | Practice Location Address |
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3636 N Lecanto Hwy, Beverly Hills, FL 34465-3513 Ph: (352) 746-0800 | 3636 N Lecanto Hwy, Beverly Hills, FL 34465-3513 Ph: (352) 746-0800 |
Dr. Jay D Newcomer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3636 N Lecanto Hwy, Beverly Hills, FL 34465 Phone: 352-746-0800 Fax: 352-527-1358 |