Provider Demographics
NPI:1528168697
Name:NEWTON, VICTOR S (OD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:S
Last Name:NEWTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2237
Mailing Address - Country:US
Mailing Address - Phone:828-298-6500
Mailing Address - Fax:828-298-9108
Practice Address - Street 1:4 S TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2237
Practice Address - Country:US
Practice Address - Phone:828-298-6500
Practice Address - Fax:828-298-9108
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1769152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1927064OtherUNITED HEALTHCARE
NC5472150001OtherDMERC REGION C
NC0923GOtherBCBS
NC890923GMedicaid
NC1927064OtherUNITED HEALTHCARE
NC2471713BMedicare PIN
NC2471713CMedicare ID - Type Unspecified