Individual
DR. JAY ANAND NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
305 POLLASKY AVE, CLOVIS, CA 93612-1139
(559) 298-2120
(559) 299-3741
Mailing address
305 POLLASKY AVE, CLOVIS, CA 93612-1139
(559) 298-2120
(559) 299-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09054TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410025521
RAILROAD MEDICARE
CA
05
—
SD0090540
—
CA
Enumeration date
08/19/2005
Last updated
08/08/2024
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