Organization
CARL W. NEWTON, O D, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE V NEWTON (OFFICE MANAGER)
(580) 596-3573
Entity
Organization
Contact information
Practice address
1504 S. GRAND, POB 264, CHEROKEE, OK 73728-0264
(580) 596-3573
(580) 596-3937
Mailing address
PO BOX 264, CHEROKEE, OK 73728-0264
(580) 596-3573
(580) 596-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
448588139001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
10/24/2006
Last updated
08/22/2020
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