# NEWSOM EYE & LASER CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427340124
- **Authorized official:** THOMAS HUNTER NEWSOM M.D. (PRESIDENT)
- **Authorized official phone:** (813) 908-2020

## Contact information

- **Practice address:** 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
- **Practice address phone:** (813) 908-2020
- **Practice address fax:** (813) 908-2133
- **Mailing address:** 13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
- **Mailing address phone:** (813) 908-2020
- **Mailing address fax:** (813) 908-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3003 | FL | — |
| 207W00000X | Ophthalmology Physician | ME79937 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 01/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4163540003 | NSC | FL |
| 01 | — | K2730A | PTAN | FL |