Active NPI
Macon Dale Newcomer, OD
- Optometrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9702TG
- Practice address
- 8800 Katy Fwy Ste 107
Houston, TX 77024-1645 - Phone
- (713) 827-8311
- Fax
- (713) 827-7488
- NPI assigned
- Jun 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9702 | TX | |
| Optometrist | 152W00000X | 9702TG | TX | Primary |
Addresses
Primary practice location
8800 Katy Fwy Ste 107
Houston, TX 77024-1645
Mailing address
8800 Katy Fwy Ste 107
Houston, TX 77024-1645
Phone (713) 827-8311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnewcomer@direct.berkeleyeye.com | Berkeley Eye Institute, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3636 N Lecanto Hwy
Beverly Hills, FL 34465-3513
Phone (352) 746-0800
4564 S Suncoast Blvd
Homosassa, FL 34446-1103
Phone (352) 628-3029
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9702 | TX | MD | Optometrist |
| 9702TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newcomer Eye Care I P a | Optometrist | Current | Accepting new patients |
| Newcomer Eyecare II, P.a. | Optometrist | Current | Accepting new patients |
| Clear Lake Eye Center LLP | Optometrist | Past | Accepting new patients |
Locations
3636 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 746-0800
4564 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 628-3029
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Homosassa, FL
- NPI 1275701427
-
- Optometrist
- Beverly Hills, FL
- NPI 1538367131
-
- Optometrist
- Houston, TX
- NPI 1255338612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1073174405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 KATY FWY STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241645",
"telephone_number": "713-827-8311",
"fax_number": "713-827-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 KATY FWY STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241645",
"telephone_number": "713-827-8311",
"fax_number": "713-827-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "MACON",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-26",
"last_updated": "2023-11-27",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9702",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9702TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnewcomer@direct.berkeleyeye.com",
"affiliation": "Y",
"affiliationName": "Berkeley Eye Institute, PLLC",
"address_1": "8800 Katy Fwy Ste 107",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770241645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.