| Newsom Eye & Laser Center Inc | |
|
13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | |
| (813) 908-2020 | |
| (813) 908-2133 |
| Full Name | Newsom Eye & Laser Center Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 13904 N Dale Mabry Hwy, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619963493 | NPI | - | NPPES |
| K2730 | Other | FL | PTAN |
| CJ5796 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Thomas H Newsom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851386395 PECOS PAC ID: 5496659161 Enrollment ID: I20050727000723 |
| Provider Name | William A Newsom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891770491 PECOS PAC ID: 7810919958 Enrollment ID: I20060103000686 |
| Provider Name | Adam A Anhalt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851376453 PECOS PAC ID: 0941222087 Enrollment ID: I20060103000709 |
| Provider Name | Eric A Fazio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447245246 PECOS PAC ID: 0345316378 Enrollment ID: I20080827000534 |
| Provider Name | James R Jachimowicz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548332612 PECOS PAC ID: 7618877499 Enrollment ID: I20100922001013 |
| Provider Name | Bryan D Garruto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710902911 PECOS PAC ID: 9032116603 Enrollment ID: I20101111001145 |
| Provider Name | Courtney E Bovee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427346683 PECOS PAC ID: 8426362088 Enrollment ID: I20160512000925 |
| Provider Name | Jessica Ann Mark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699223974 PECOS PAC ID: 0749568657 Enrollment ID: I20161027002081 |
| Provider Name | Eric Liss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225477748 PECOS PAC ID: 2668779992 Enrollment ID: I20171017003280 |
| Provider Name | Daniel Anthony Ochs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588135651 PECOS PAC ID: 8921344623 Enrollment ID: I20190117001754 |
| Provider Name | Matthew Brian Donovan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366804858 PECOS PAC ID: 1951648914 Enrollment ID: I20200902000133 |
| Provider Name | Mike Stuntz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962817189 PECOS PAC ID: 4486965894 Enrollment ID: I20210203001512 |
| Provider Name | Arian Moses |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770719643 PECOS PAC ID: 2769753052 Enrollment ID: I20211109002089 |
| Provider Name | Michael Miyashiro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699868844 PECOS PAC ID: 9133018930 Enrollment ID: I20220104002562 |
| Provider Name | Eric J Areiter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427496264 PECOS PAC ID: 8426343740 Enrollment ID: I20220616003076 |
| Provider Name | Brian Szabo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174056741 PECOS PAC ID: 0941680516 Enrollment ID: I20220629002615 |
| Provider Name | Lauren Paige Wasikowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902506934 PECOS PAC ID: 7810354677 Enrollment ID: I20230609000581 |
| Provider Name | Laura Elizabeth Vandenberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730867607 PECOS PAC ID: 0244690121 Enrollment ID: I20230724004034 |
| Provider Name | Michael Chermak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659094415 PECOS PAC ID: 8820468663 Enrollment ID: I20230915001054 |
| Provider Name | Kayla Unsell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851953608 PECOS PAC ID: 2961855713 Enrollment ID: I20240128000042 |
| Provider Name | Marissa Cruz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841979937 PECOS PAC ID: 9133661788 Enrollment ID: I20240611001115 |
| Provider Name | Michaele Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417520644 PECOS PAC ID: 2769877422 Enrollment ID: I20240620001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Newsom Eye & Laser Center Inc 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 Ph: (813) 908-2020 | Newsom Eye & Laser Center Inc 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 Ph: (813) 908-2020 |