Provider Demographics
NPI:1609856764
Name:NEWTON, MATTHEW EARL (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:EARL
Last Name:NEWTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:137 SETON HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 466
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96595
Practice Address - Country:US
Practice Address - Phone:011246-370-4200
Practice Address - Fax:011246-370-4217
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4220152W00000X
VA0618000445152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist