Provider Demographics
NPI:1952689754
Name:NEUMANN, ANNE M (OD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:NEUMANN
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 1:1411 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-4702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5255 STATE ROUTE 251
Practice Address - Street 2:SUITE B
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354-1005
Practice Address - Country:US
Practice Address - Phone:815-224-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010479152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist