Louis R Neumann, O.D.
Individual provider Active NPI Optometrist · Portland, CT
NPI 1285769703 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1285769703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 742 (CT)
- Practice address
- 511 Main St
Portland, CT 06480-1527 - Phone
- (860) 342-3224
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 527
Portland, CT 06480-0527
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080519000554 | CT | Practitioner - Optometry | 0941379861 | Practice locations: Portland, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742 | CT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 742 | CT | Yes |
| Corneal and Contact Management Optometrist | 152WC0802X | 742 | CT |
Addresses
Primary practice location
511 Main St
Portland, CT 06480-1527
Mailing address
PO Box 527
Portland, CT 06480-0527
Phone (860) 342-3224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004023990 | Medicaid | CT | |
| OV2107 | Other | CT | HEALTHNET |
| P385654 | Other | CT | OXFORD |
| 090000742CT01 | Other | CT | ANTHEM |
| 090000742CT02 | Other | CT | ANTHEM |
| 0991796 | Other | CT | AETNA |
| 907652 | Other | CT | BLOCK VISION |
Other providers in Portland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.