Individual provider Active NPI

Taylor Neumann, O.D.

  • Optometrist
  • Council Bluffs, IA
National Provider Identifier
1720437262
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
082762 Issued in IA
Practice address
204 S 35TH St Ste 100
Council Bluffs, IA 51501-2063
Phone
(712) 322-4554
Fax
(712) 322-2340
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 082762 IA Primary

Addresses

Primary practice location

204 S 35TH St Ste 100
Council Bluffs, IA 51501-2063

Mailing address

204 S 35TH St Ste 100
Council Bluffs, IA 51501-2063
Phone (712) 322-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930002235 IA Practitioner - Optometry 6800126186 Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Neumann, O.D. Optometrist CurrentSince Dec 28, 2025 Accepting new patients
HW Holdings PastSince Aug 18, 2020 Accepting new patients

Locations

204 S 35th St
Ste 100
Council Bluffs, IA 51501
Phone (712) 322-4554

Organizations & group practices 2

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1720437262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S 35TH ST STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515012063",
            "telephone_number": "712-322-4554",
            "fax_number": "712-322-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S 35TH ST STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515012063",
            "telephone_number": "712-322-4554",
            "fax_number": "712-322-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "082762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.