Newman Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

524 Issued in MS

Legal business name

NEWMAN EYE CLINIC

Practice address

299 Highway 90
Bay St Louis, MS 39520-3606

Phone

(228) 467-1020

Fax

(228) 467-7258

NPI assigned

Feb 12, 2008

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stanton Newman Jr., O.D.NPI 1407957079

Title

Optometrist

Phone

(228) 467-1020

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Charles Stanton Newman Jr., OD

  • Optometrist
  • Bay St Louis, MS
  • NPI 1407957079
  Medicare reassignment NPD Authorized official
• Scott Edward Sanders, O.D.

  • Optometrist
  • Bay St Louis, MS
  • NPI 1558431163
  Medicare reassignment NPD

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1568630598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395203606",
            "telephone_number": "228-467-1020",
            "fax_number": "228-467-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395203606",
            "telephone_number": "228-467-1020",
            "fax_number": "228-467-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "228-467-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "0830067/426083155-00",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SERVICE PROVIDER",
            "identifier": "00087081",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5727622",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9013468",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "426083155C",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Merleaux Aesthetic Solutions Co (MerLeaux Aesthetics & Wellness Serenity Med Spa)
• Johnny Miller
• Mississippi State Department of Health
• Dianne Moody
• Charles Stanton Newman Jr., OD
• North Beach Medical LLC
• Rachael Crittenden Nuschke, FNP
• Naomi Nicole Dieckmann Oberhofer
• Ochsner Clinic LLC (Ochsner Health Center - Hancock)

• Optometrist in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.