Healthcare Provider Details

I. General information

NPI: 1427283209
Provider Name (Legal Business Name): STEVEN M. NEWMAN, O.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5831 SW 137TH AVE
MIAMI FL
33183-1105
US

IV. Provider business mailing address

10130 SW 2ND ST
PLANTATION FL
33324-2230
US

V. Phone/Fax

Practice location:
  • Phone: 305-383-4211
  • Fax: 305-383-5065
Mailing address:
  • Phone: 954-599-3285
  • Fax: 305-383-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC3029
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPC3029
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberOPC3029
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN MARK NEWMAN
Title or Position: PRESIDENT
Credential: O.D.
Phone: 954-599-3285