Organization Active NPI

Newsom Eye & Laser Center, Inc.

Doing business as Hernando Eye Institute

  • Optometrist
  • Brooksville, FL
National Provider Identifier
1801514955
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEWSOM EYE & LASER CENTER, INC.
Doing business as
Hernando Eye Institute
Practice address
14543 Cortez Blvd
Brooksville, FL 34613-6065
Phone
(352) 596-4030
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14543 Cortez Blvd
Brooksville, FL 34613-6065

Mailing address

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

Other names 1

  • Hernando Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414002293 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 0648241190 Practice locations: Brooksville, FL

Other NPIs with the same Medicare PAC ID 5

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

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
10D1043681Newsom Eye & Laser Center Inc14543 Cortez Blvd, Brooksville, FL 34613Certificate of waiverJul 31, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Newsom Eye & Laser Center, Inc.14543 Cortez Blvd, Brooksville, FL 34613-6065(352) 596-4030 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

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.

Locations

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801514955",
    "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": "14543 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136065",
            "telephone_number": "352-596-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM EYE & LASER CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-09-11",
        "certification_date": "2023-10-12",
        "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": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernando Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.