Provider Demographics
NPI:1558495499
Name:SIMPSON, ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:SIMPSON
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 1:1201 W ADAMS ST
Mailing Address - Street 2:#605
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2867
Mailing Address - Country:US
Mailing Address - Phone:312-375-7148
Mailing Address - Fax:
Practice Address - Street 1:1201 W ADAMS ST
Practice Address - Street 2:#605
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2867
Practice Address - Country:US
Practice Address - Phone:312-375-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL46009599152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist