Lee Christopher Newton, O.D.
Individual provider Active NPI Optometrist · Bay City, MI
NPI 1902897101 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1902897101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004072 (MI)
- Practice address
- 3720 Wilder Rd
Bay City, MI 48706-2126 - Phone
- (989) 667-9393
- Fax
- (989) 667-5577
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3720 E Wilder Rd
Bay City, MI 48706-2126
Phone (989) 667-9393
3720 Wilder Rd
Bay City, MI 48706-2126
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| McLaren Bay Region |
Hospital | Corporate Director | Feb 1, 2018 |
| McLaren Bay Region |
Hospital | Corporate Director | Feb 1, 2018 |
| McLaren Bay Region |
Hospital | Corporate Director | Feb 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070503000544 | MI | Practitioner - Optometry | 9436255684 | Practice locations: Bay City, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004072 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Labaza Eyecare, P.C. | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004072 | MI | Yes |
Addresses
Primary practice location
3720 Wilder Rd
Bay City, MI 48706-2126
Mailing address
3720 Wilder Rd
Bay City, MI 48706-2126
Phone (989) 667-9393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0989506 | Other | MI | HEALTH PLUS OF MICHIGAN |
| 900Z910400 | Other | MI | BLUE CROSS BLUE SHIELD |
| 944253433 | Medicaid | MI |
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.