Newport Avenue Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEWPORT AVENUE OPTOMETRY INC.

Practice address

4822 Newport Ave
San Diego, CA 92107-3111

Phone

(619) 222-0559

Fax

(619) 222-0231

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Eli Ben Moshe, ODNPI 1134201726

Title

Optometrist

Phone

(619) 222-0559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

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

• Eli Ben-Moshe, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1134201726
  Medicare reassignment NPD Authorized official
• Jared Hagan, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1881929966
  Medicare reassignment Care Compare group NPD
• Michael Ngoc Tran, OD

  • Optometrist
  • San Diego, CA
  • NPI 1124555172
  Medicare reassignment Care Compare group NPD
• Harrison Vanderlinde, OD

  • Optometrist
  • Visalia, CA
  • NPI 1336798123
  Medicare reassignment Care Compare group NPD
• Henry C. Lin, O.D.

  • Optometrist
  • El Centro, CA
  • NPI 1861405664
  Medicare reassignment NPD
• Christopher D Johnson, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1568861425

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1306497888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 NEWPORT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073111",
            "telephone_number": "619-222-0559",
            "fax_number": "619-222-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 NEWPORT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073111",
            "telephone_number": "619-222-0559",
            "fax_number": "619-222-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT AVENUE OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "BEN MOSHE",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-222-0559",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Newman, M.F.T.
• Susan Kylee Newman, RN, MSN, NNP
• Timothy William Newman I, INDEPENDENT DUTY COR
• Shelese R Newmark, M.D.
• Karl Newmeyer, LCSW
• Sherry Newsham
• Belinda Ann Newsom, SUDCC
• Timothy Bryan Newsom, D.M.D.
• Deborah Marie Newsome, RN
• Lars R. Newsome, M.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.