Provider Demographics
NPI:1063595700
Name:NEWLAND, SHEILA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ANN
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-2043
Mailing Address - Country:US
Mailing Address - Phone:361-578-2904
Mailing Address - Fax:
Practice Address - Street 1:505 E MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2043
Practice Address - Country:US
Practice Address - Phone:361-578-2904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43LLT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNE764718OtherDAVIS VISION
TX0403263-01Medicaid
TXU41025Medicare UPIN
TX0403263-01Medicaid
TX0455360001Medicare NSC