Newsom Eye & Laser Center Inc | |
13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | |
(813) 908-2020 | |
(813) 908-2133 |
Full Name | Newsom Eye & Laser Center Inc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 13904 N Dale Mabry Hwy, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619963493 | NPI | - | NPPES |
K2730 | Other | FL | PTAN |
CJ5796 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Thomas H Newsom |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851386395 PECOS PAC ID: 5496659161 Enrollment ID: I20050727000723 |
Provider Name | William A Newsom |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891770491 PECOS PAC ID: 7810919958 Enrollment ID: I20060103000686 |
Provider Name | Adam A Anhalt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851376453 PECOS PAC ID: 0941222087 Enrollment ID: I20060103000709 |
Provider Name | Eric A Fazio |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447245246 PECOS PAC ID: 0345316378 Enrollment ID: I20080827000534 |
Provider Name | James R Jachimowicz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548332612 PECOS PAC ID: 7618877499 Enrollment ID: I20100922001013 |
Provider Name | Bryan D Garruto |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710902911 PECOS PAC ID: 9032116603 Enrollment ID: I20101111001145 |
Provider Name | Courtney E Bovee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427346683 PECOS PAC ID: 8426362088 Enrollment ID: I20160512000925 |
Provider Name | Jessica Ann Mark |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699223974 PECOS PAC ID: 0749568657 Enrollment ID: I20161027002081 |
Provider Name | Daniel Anthony Ochs |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588135651 PECOS PAC ID: 8921344623 Enrollment ID: I20190117001754 |
Provider Name | Matthew Donovan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366804858 PECOS PAC ID: 1951648914 Enrollment ID: I20200902000133 |
Provider Name | Mike Stuntz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1962817189 PECOS PAC ID: 4486965894 Enrollment ID: I20210203001512 |
Provider Name | Arian Moses |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770719643 PECOS PAC ID: 2769753052 Enrollment ID: I20211109002089 |
Provider Name | Eric Areiter |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427496264 PECOS PAC ID: 8426343740 Enrollment ID: I20220616003076 |
Provider Name | Brian Szabo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174056741 PECOS PAC ID: 0941680516 Enrollment ID: I20220629002615 |
Provider Name | Lauren Paige Wasikowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902506934 PECOS PAC ID: 7810354677 Enrollment ID: I20230609000581 |
Provider Name | Laura Elizabeth Vandenberg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730867607 PECOS PAC ID: 0244690121 Enrollment ID: I20230724004034 |
Provider Name | Michael Chermak |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659094415 PECOS PAC ID: 8820468663 Enrollment ID: I20230915001054 |
Provider Name | Kayla Unsell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851953608 PECOS PAC ID: 2961855713 Enrollment ID: I20240128000042 |
Mailing Address | Practice Location Address |
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Newsom Eye & Laser Center Inc 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 Ph: (813) 908-2020 | Newsom Eye & Laser Center Inc 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 Ph: (813) 908-2020 |