Charles Isaac Newcomer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003324 Issued in GA

Practice address

105 Trinity PL
Athens, GA 30607-2112

Phone

(706) 549-9993

Fax

(706) 549-4047

NPI assigned

Jul 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keller, Crymes, and Demarco LLCGroup PAC ID 3971591132, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.59 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.65

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keller, Crymes, & Demarco LLC

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1467406983
  Medicare reassignment Care Compare group NPD
• Keller Crymes & Demarco LLC

  • Eyewear Supplier
  • Athens, GA
  • NPI 1790907277
  NPD
• Jonathan Woolfson, MD, P.C.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1255577300
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1659943363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMER",
        "first_name": "CHARLES",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattilyn Nerowski, LMSW
• Adriana Maria Nestoiter, M.D.
• Kalli Neuroth, DNP
• Rabun Wiley Neves, PHARMD
• Kayla Newberry, COTA/L
• Jack Goodrich Newman, D.M.D.
• David Newton, MD
• Next Level Care LLC
• Bethany Houser Nguyen, PA-C
• Crystal Ana Nguyen, PHARMD

• Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.