Individual provider Active NPI

Linda Sue Neuhoff, OD

  • Optometrist
  • Princeton, IN
National Provider Identifier
1194701532
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002082A Issued in IN
Practice address
516 N Main St
Princeton, IN 47670-1406
Phone
(812) 385-4857
Fax
(812) 386-5770
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002082A IN Primary

Addresses

Primary practice location

516 N Main St
Princeton, IN 47670-1406

Mailing address

516 N Main St
Princeton, IN 47670-1406
Phone (812) 385-4857

Other identifiers 2

IdentifierTypeStateIssuer
100122340AMedicaidIN
5988750001OtherINDME MAC PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson County Eyecare Optometrist CurrentSince Nov 9, 2021 Accepting new patients

Locations

516 N Main St
Princeton, IN 47670
Phone (812) 385-4857

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1194701532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701406",
            "telephone_number": "812-385-4857",
            "fax_number": "812-386-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701406",
            "telephone_number": "812-385-4857",
            "fax_number": "812-386-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHOFF",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002082A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122340A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC PIN",
            "identifier": "5988750001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.