Organization Active NPI

Newcomer Eyecare II, P.a.

  • Optometrist
  • Beverly Hills, FL
National Provider Identifier
1538367131
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2301 Issued in FL
Legal business name
NEWCOMER EYECARE II, P.A.
Practice address
3636 N Lecanto Hwy
Beverly Hills, FL 34465-3513
Phone
(352) 746-0800
Fax
(352) 527-1358
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Jay D. Newcomer, O.D.NPI 1932247954
Title
President of Corporation
Phone
(352) 746-0800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2301 FL Primary

Addresses

Primary practice location

3636 N Lecanto Hwy
Beverly Hills, FL 34465-3513

Mailing address

3636 N Lecanto Hwy
Beverly Hills, FL 34465-3513
Phone (352) 746-0800

Other names 1

  • Beverly Hills 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
O20100920000078 FL Part B Supplier - Clinic/Group Practice 7214052836 Receives reassigned benefits from 3 practitioners
Practice locations: Beverly Hills, FL
O20100930100768 FL DME Supplier - Physician - Optometrist 7214052836 Practice locations: Beverly Hills, 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
Newcomer Eyecare II, P.a.3636 N Lecanto Hwy, Beverly Hills, FL 34465-3513(352) 746-0800 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 1, 2002

National Provider Directory

National Provider Directory

Locations

3636 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 746-0800

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1538367131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653513",
            "telephone_number": "352-746-0800",
            "fax_number": "352-527-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653513",
            "telephone_number": "352-746-0800",
            "fax_number": "352-527-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOMER EYECARE II, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "352-746-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

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