Healthcare Provider Details

I. General information

NPI: 1902919558
Provider Name (Legal Business Name): BARBARA STEWART NEWMAN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23605 AIRPORT RD
COSHOCTON OH
43812-9262
US

IV. Provider business mailing address

5660 DILLON HILLS DR
NASHPORT OH
43830-9525
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-6151
  • Fax: 740-622-6205
Mailing address:
  • Phone: 740-252-3630
  • Fax: 740-622-6205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOH-3898-912
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: