Jay Anand Newsome, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

09054TPG Issued in CA

Practice address

305 Pollasky Ave
Clovis, CA 93612-1139

Phone

(559) 298-2120

Fax

(559) 299-3741

NPI assigned

Aug 19, 2005

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan D Mencarini & Jay a Newsome

  • Optometrist
  • Clovis, CA
  • NPI 1265642664
  NPD Authorized official
• Steven W Shute O D Inc

  • Eyewear Supplier
  • Clovis, CA
  • NPI 1649593021

  Optometrist

  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1215929831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 POLLASKY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121139",
            "telephone_number": "559-298-2120",
            "fax_number": "559-299-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 POLLASKY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121139",
            "telephone_number": "559-298-2120",
            "fax_number": "559-299-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "JAY",
        "middle_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "09054TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410025521",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0090540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Bianca Neves
• New Passages
• Hailey Newberry, PA
• Deborah J Newlin, R.D.
• Erin D Newman, RDE
• Candice Marie Newsum, LMFT
• Lan Ngo, PHARMD
• Angie Ngoc Nguyen, PHARM. D
• Ethan N Nguyen, MD
• Hao Bich Nguyen

• Optometrist in Clovis, CA
• Providers in Clovis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.

Verify at the official NPI Registry.