CUSTOM EYES VISION CARE OF NEWPORT, INC (NPI# 1598937328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598937328 |
| Entity Type | Organization |
| Organization Name | CUSTOM EYES VISION CARE OF NEWPORT, INC |
| Practice Address |
2105 Malcolm Ave Ste 101 Newport AR 72112-3691 |
| Mailing Address |
2105 Malcolm Ave Ste 101 P. O. Box 370 Newport AR 72112-3691 |
| Practice Telephone | 8705233333 |
| Practice Fax Number | 8705232379 |
| Mailing Telephone | 8705233333 |
| Mailing Fax Number | 8705232379 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | GAVIN T MCDOWELL (OWNER) |
| Authorized Official Telephone | 8705233333 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
2105 MALCOLM AVE STE 101 |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697986 | National Vision Inc | Optometrist | 64 Carothers Rd, Newport, KY 41071-2416 | 2020-01-02 |
| 1376102509 | Lauren Kibe | Optometrist | 300 Bretz Ct Ste 200, Newport, PA 17074-8616 | 2019-06-11 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1891224069 | Sean Francis Pinard | Optometrist | 124 E Main St Ste 1, Newport, VT 05855-5561 | 2017-06-09 |
| 1336483049 | James A Yandell | Optometrist | 303 Cosby Hwy, Newport, TN 37821-2914 | 2012-11-19 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1295909398 | Mark W Lantz | Optometrist | 142 Pavilion Pkwy, Newport, KY 41071-2884 | 2008-04-18 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073708152 | Audra Lynn Seldon | Optometrist | 43 Smith Ave, Newport, RI 02841 | 2007-09-11 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| Find all providers in NEWPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.