Provider Demographics
NPI:1841433620
Name:REUTER, ANNE DAUGHERTY (OD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:DAUGHERTY
Last Name:REUTER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1212 6TH AVE
Mailing Address - Street 2:ROOM 803
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1602
Mailing Address - Country:US
Mailing Address - Phone:917-510-2854
Mailing Address - Fax:917-510-2801
Practice Address - Street 1:215 E 95TH ST
Practice Address - Street 2:AREA I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4077
Practice Address - Country:US
Practice Address - Phone:212-996-8000
Practice Address - Fax:212-423-3127
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007373152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist