Organization Active NPI

Newsom Eye & Laser Center, Inc.

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1548030661
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEWSOM EYE & LASER CENTER, INC.
Practice address
2521 NW 41St St
Gainesville, FL 32606-6630
Phone
(352) 377-7733
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Stacy Newsom
Title
Cfo
Phone
(813) 908-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2521 NW 41St St
Gainesville, FL 32606-6630

Mailing address

13904 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2446
Phone (813) 908-2020

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2300721Newsom Eye & Laser Center Inc2521 NW 41St Street, Gainesville, FL 32606Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Newsom Eye Laser Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1548030661",
    "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",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM EYE & LASER CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-908-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.