Individual
DR. JAY D NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3636 N LECANTO HWY, BEVERLY HILLS, FL 34465-3513
(352) 746-0800
(352) 527-1358
Mailing address
3636 N LECANTO HWY, BEVERLY HILLS, FL 34465-3513
(352) 746-0800
(352) 527-1358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410048608
RAILROAD MEDICARE
FL
Enumeration date
02/02/2007
Last updated
02/18/2008
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