Active NPI
Carl W. Newton, O D, P C
- Optometrist
- Cherokee, OK
National Provider Identifier
1972687168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1056
- Legal business name
- CARL W. NEWTON, O D, P C
- Practice address
- 1504 S. Grand
Pob 264
Cherokee, OK 73728-0264 - Phone
- (580) 596-3573
- Fax
- (580) 596-3937
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline V Newton
- Title
- Office Manager
- Phone
- (580) 596-3573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1056 | OK | Primary |
Addresses
Primary practice location
1504 S. Grand
Pob 264
Cherokee, OK 73728-0264
Mailing address
PO Box 264
Cherokee, OK 73728-0264
Phone (580) 596-3573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 448588139001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Southgate
Cherokee, OK 73728
Phone (580) 596-3573
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Vision Optometrist
- Cherokee, OK
- NPI 1548257074
-
- Optometrist
- Enid, OK
- NPI 1043763436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972687168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 264",
"city": "CHEROKEE",
"state": "OK",
"postal_code": "737280264",
"telephone_number": "580-596-3573",
"fax_number": "580-596-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 S. GRAND",
"address_2": "POB 264",
"city": "CHEROKEE",
"state": "OK",
"postal_code": "737280264",
"telephone_number": "580-596-3573",
"fax_number": "580-596-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL W. NEWTON, O D, P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "580-596-3573"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "448588139001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.