Provider Demographics
NPI:1730184656
Name:HUFF, DOUGLAS ALAN (O D)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ALAN
Last Name:HUFF
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 NORTH CHESTNUT STREET
Mailing Address - Street 2:P. O. BOX 459
Mailing Address - City:BARNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43713-0459
Mailing Address - Country:US
Mailing Address - Phone:740-425-2605
Mailing Address - Fax:740-425-3158
Practice Address - Street 1:210 NORTH CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43713-0459
Practice Address - Country:US
Practice Address - Phone:740-425-2605
Practice Address - Fax:740-425-3158
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3352-T146152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist