NPIMap

Organization Active NPI

Newsom Eye & Laser Center Inc

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1619963493
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEWSOM EYE & LASER CENTER INC
Practice address
13904 N Dale Mabry Hwy
Suite 200
Tampa, FL 33618-2446
Phone
(813) 908-2020
Fax
(813) 908-2133
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Thomas H 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

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

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
K2730OtherFLPTAN
CJ5796OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001382 FL Part B Supplier - Clinic/Group Practice 0648241190 Receives reassigned benefits from 25 practitioners
Practice locations: Tampa, FL; Clearwater, FL; Gainesville, FL; Brooksville, FL; Sebring, FL

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory

Locations

14543 Cortez Blvd
Ste 6065
Brooksville, FL 34613

3205 Physicians Way
Sebring, FL 33870
Phone (863) 385-1544

3115 W Swann Ave
Tampa, FL 33609
Phone (813) 492-2020

13904 N Dale Mabry Hwy
Ste 100
Tampa, FL 33618
Phone (813) 908-2020

13904 N Dale Mabry Hwy
Ste 301
Tampa, FL 33618

Interoperability endpoints

  • Direct secure messaging: msnyder@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: bszabo@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: lwasikowski@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: nswarup@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: kunsell@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: ashetty@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: lsimon@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: mchermak@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: jjachimowicz@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: wnewsom@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: lhedrick@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: bsifrig@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: eliss@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: shaji@newsomeyelaser.intellechartdirect.net
  • Direct secure messaging: mmiyashiro@newsomeyelaser.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1619963493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY",
            "address_2": "SUITE 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": "13904 N DALE MABRY HWY",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM EYE & LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K2730",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.