Active NPI
Tonya Charmaine Newman-Farrell, O.D.
- Optometrist
- Houlton, ME
National Provider Identifier
1790811677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 841 OPT
- Practice address
- 75 Main St
Houlton, ME 04730-2122 - Phone
- (207) 532-2486
- NPI assigned
- Feb 26, 2007
- Last updated
- Nov 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 841 OPT | ME | Primary |
Addresses
Primary practice location
75 Main St
Houlton, ME 04730-2122
Mailing address
109 Culbert Drive
Woodstock, NEW BRUNSWICK E7M 1N8
CA
Phone (506) 328-9599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061144 | Other | ME | BLUE CROSSBLUE SHIELD |
| 117730000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 OPT | ME | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1790811677",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "109 CULBERT DRIVE",
"city": "WOODSTOCK",
"state": "NEW BRUNSWICK",
"postal_code": "E7M 1N8",
"telephone_number": "506-328-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MAIN ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047302122",
"telephone_number": "207-532-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN-FARRELL",
"first_name": "TONYA",
"middle_name": "CHARMAINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "841 OPT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "061144",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117730000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.