Individual
JOHN STANLEY NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20278
PARTNERS
NC
01
—
77115
BCBS
NC
01
—
78269
MEDCOST
NC
05
—
8801912
—
NC
Enumeration date
11/30/2005
Last updated
08/20/2010
Update your record
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