MEDICARE: DR. RICHARD LEE NEWELL O.D. , MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	963T	OR

General Provider Information

NPI Number	:	1548237183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LEE NEWELL O.D. , MPH

Provider Business Mailing Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	727-869-4225
Fax Number	:	727-869-4226

Provider Business Practice Location Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	727-869-4225
Fax Number	:	727-869-4226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	07/08/2007

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