Organization Active NPI

Newton Teleoptometric Service, P.C.

  • Optometrist
  • Macon, GA
National Provider Identifier
1053052548
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEWTON TELEOPTOMETRIC SERVICE, P.C.
Practice address
1401 Gray Hwy
Macon, GA 31211-1905
Phone
(478) 755-1295
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Basile
Title
Manager of Open Panel Doctor
Phone
(516) 243-8708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1401 Gray Hwy
Macon, GA 31211-1905

Mailing address

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002

National Provider Directory

National Provider Directory

Locations

1401 Gray Hwy
Macon, GA 31211
Phone (478) 755-1097

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1053052548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GRAY HWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111905",
            "telephone_number": "478-755-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON TELEOPTOMETRIC SERVICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER OF OPEN PANEL DOCTOR",
        "authorized_official_telephone_number": "516-243-8708"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.