NPIMap

Organization Active NPI

Newsom Eye & Laser Center, Inc.

  • Ophthalmology Physician
  • Clearwater, FL
National Provider Identifier
1316615891
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEWSOM EYE & LASER CENTER, INC.
Practice address
3165 N McMullen Booth Rd Ste A1
Clearwater, FL 33761-2020
Phone
(813) 908-2020
NPI assigned
Aug 31, 2021
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NEWSOM EYE & LASER CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Thomas Hunter Newsom, MDNPI 1851386395
Title
President
Phone
(813) 908-2020

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3165 N McMullen Booth Rd Ste A1
Clearwater, FL 33761-2020

Mailing address

13904 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111000831 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 0648241190 Practice locations: Clearwater, FL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Newsom Eye & Laser Center, Inc.3165 N McMullen Booth Rd, Clearwater, FL 33761-2020(727) 788-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Newsom Eye Laser Center in7 organizations share this tax ID, including this one
Part of
Newsom Eye Laser Center in

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1023 US 27 N
Avon Park, FL 33825
Phone (863) 452-0215

1023 US Highway 27 S
Avon Park, FL 33825
Phone (863) 201-7329

3165 N McMullen Booth Rd
Ste A1
Clearwater, FL 33761
Phone (727) 723-8706

2727 US 27 S
Lake Placid, FL 33852
Phone (863) 385-1544

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1316615891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD STE A1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612020",
            "telephone_number": "813-908-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM EYE & LASER CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWSOM EYE & LASER CENTER, INC.",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-908-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.