Healthcare Provider Details

I. General information

NPI: 1588963995
Provider Name (Legal Business Name): LINDSEY EHRET HUFF O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY EHRET HUBER O.D.

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 W 106TH ST SUITE 120
CARMEL IN
46032-7778
US

IV. Provider business mailing address

1419 TIMBERWOOD CT
BREMEN IN
46506-1966
US

V. Phone/Fax

Practice location:
  • Phone: 317-334-4424
  • Fax: 317-334-4425
Mailing address:
  • Phone: 574-248-0284
  • Fax: 574-546-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18003671A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: