Provider Demographics
NPI:1285674838
Name:NEUHAUS, ALLEN ROBERT (OD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:NEUHAUS
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 JUDITH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3605
Mailing Address - Country:US
Mailing Address - Phone:516-937-1582
Mailing Address - Fax:
Practice Address - Street 1:1649 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3026
Practice Address - Country:US
Practice Address - Phone:516-365-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003223-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2372858OtherOXFORD HEALTH PLAN
NY166177POtherHIP
NY00920576Medicaid
NY50614POtherHIP
NYU55406Medicare UPIN
NYC4A261Medicare PIN
NY00920576Medicaid
NYC00711Medicare PIN