Provider Demographics
NPI:1518537786
Name:AHO, ANNA CLAIRE (OD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CLAIRE
Last Name:AHO
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 1:2427 PEYTON AVE SW
Mailing Address - Street 2:
Mailing Address - City:COKATO
Mailing Address - State:MN
Mailing Address - Zip Code:55321-4535
Mailing Address - Country:US
Mailing Address - Phone:320-247-0568
Mailing Address - Fax:
Practice Address - Street 1:500 ELM ST E
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:MN
Practice Address - Zip Code:55302-1149
Practice Address - Country:US
Practice Address - Phone:370-132-0274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3738152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist