Healthcare Provider Details

I. General information

NPI: 1023486891
Provider Name (Legal Business Name): DAVID HUFFMIRE O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 10/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 WESTMINSTER MALL
WESTMINSTER CA
92683-4947
US

IV. Provider business mailing address

2056 WESTMINSTER MALL
WESTMINSTER CA
92683-4947
US

V. Phone/Fax

Practice location:
  • Phone: 714-897-1550
  • Fax: 714-897-3596
Mailing address:
  • Phone: 714-897-1550
  • Fax: 714-897-3596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number15349TLG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: