Organization Active NPI

Newcomer Eye Care I P a

  • Optometrist
  • Homosassa, FL
National Provider Identifier
1275701427
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2324 Issued in FL
Legal business name
NEWCOMER EYE CARE I P A
Practice address
4564 S Suncoast Blvd
Homosassa, FL 34446-1103
Phone
(352) 628-3029
Fax
(352) 628-6377
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Annemarie Darts Newcomer, ODNPI 1063517811
Title
President
Phone
(352) 628-3029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2324 FL Primary
Eyewear Supplier 332H00000X OPC2324 FL

Addresses

Primary practice location

4564 S Suncoast Blvd
Homosassa, FL 34446-1103

Mailing address

4564 S Suncoast Blvd
Homosassa, FL 34446-1103
Phone (352) 628-3029

Other identifiers 1

IdentifierTypeStateIssuer
19712OtherFLBCBS OF FL

Other names 1

  • Homosassa Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080606000354 FL Part B Supplier - Clinic/Group Practice 8628148384 Receives reassigned benefits from 3 practitioners
Practice locations: Homosassa, FL
O20100930068345 FL DME Supplier - Physician - OptometristDME Supplier - Optician 8628148384 Practice locations: Homosassa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Homosassa Eye Clinic4564 S Suncoast Blvd, Homosassa, FL 34446-1103(352) 628-3029 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

4564 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 628-3029

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1275701427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461103",
            "telephone_number": "352-628-3029",
            "fax_number": "352-628-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461103",
            "telephone_number": "352-628-3029",
            "fax_number": "352-628-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOMER EYE CARE I P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_middle_name": "DARTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-628-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2324",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "19712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homosassa Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homosassa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.