Provider Demographics
NPI:1033187695
Name:NEWMAN, STEVEN MARK (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:10130 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2230
Mailing Address - Country:US
Mailing Address - Phone:954-599-3285
Mailing Address - Fax:305-383-5065
Practice Address - Street 1:5831 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1105
Practice Address - Country:US
Practice Address - Phone:305-383-4211
Practice Address - Fax:305-383-5065
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3029152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20790OtherBCBS OF FL
FL20790AMedicare PIN
FLU69405Medicare UPIN