Provider Demographics
NPI:1366693731
Name:SCOTT C NEUMAN OD
Entity Type:Organization
Organization Name:SCOTT C NEUMAN OD
Other - Org Name:RAWLINS EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:307-324-2219
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:819 W MAPLE
Mailing Address - City:RAWLINS
Mailing Address - State:WY
Mailing Address - Zip Code:82301-1001
Mailing Address - Country:US
Mailing Address - Phone:307-324-2219
Mailing Address - Fax:
Practice Address - Street 1:819 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301-5462
Practice Address - Country:US
Practice Address - Phone:307-324-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY290T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY5279160001Medicare NSC