Organization Active NPI

Newcomer Eye Associates, LLC

  • Optometrist
  • Whitehall, PA
National Provider Identifier
1982373163
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEWCOMER EYE ASSOCIATES, LLC
Practice address
265 Lehigh Valley Mall
Whitehall, PA 18052-5719
Phone
(610) 266-6666
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Daniel Newcomer III, ODNPI 1548353311
Title
Owner
Phone
(610) 266-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

265 Lehigh Valley Mall
Whitehall, PA 18052-5719

Mailing address

265 Lehigh Valley Mall
Whitehall, PA 18052-5719
Phone (610) 266-6666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020003221 PA Part B Supplier - Clinic/Group Practice 3072901206 Receives reassigned benefits from 2 practitioners
Practice locations: Whitehall, PA

National Provider Directory

National Provider Directory

Locations

265 Lehigh Valley Mall
Whitehall, PA 18052
Phone (610) 266-6660

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1982373163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-266-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-266-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOMER EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-266-6666",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.

Verify at the official NPI Registry.