Provider Demographics
NPI:1154309060
Name:NEWMAN, MARK STUART (OD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STUART
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2812 ERWIN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4502
Mailing Address - Country:US
Mailing Address - Phone:919-384-0784
Mailing Address - Fax:919-321-6249
Practice Address - Street 1:2812 ERWIN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4502
Practice Address - Country:US
Practice Address - Phone:919-384-0784
Practice Address - Fax:919-321-6249
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC1445152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist