Organization
NEWSOM EYE & LASER CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUNTER NEWSOM M.D. (PRESIDENT)
(813) 908-2020
Entity
Organization
Contact information
Practice address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Mailing address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3003
FL
207W00000X
Ophthalmology Physician
Primary
ME79937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4163540003
NSC
FL
01
—
K2730A
PTAN
FL
Enumeration date
05/12/2011
Last updated
01/05/2021
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