Newsome, Paula Renee

Newsome, Paula Renee is an individual health care provider with primary practice located at 1016 S Church St , Charlotte NC 28203-4002. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Newsome, Paula Renee can be contacted via phone (704) 375-3935.

Contact Information

Primary practice address
1016 S Church St Charlotte NC 28203-4002
Fax: (704) 333-7238
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1087 North Carolina

Profile Details

NPI number 1225039993
LBN Legal business name Newsome, Paula Renee
Credentials OD, MS, FAAO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Sep 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225039993 NPPES
North Carolina MEDICAID 8909651

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