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General NPI Number Information
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NPI Number | 1104137694
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Entity Type | Individual
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Provider Name | THOMAS MICHEAL HUFF O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 3333 CLARK ST
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City | ALAMOSA
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State | CO
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Zip | 81101-2050
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Country | US
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Telephone | 719-992-2121
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Fax | 719-993-0155
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Provider Business Mailing Address
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Address Line | 719 CARSON ST
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City | GREENEVILLE
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State | TN
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Zip | 37743-4703
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Country | US
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Telephone | 719-298-1393
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Fax | 423-638-7687
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002584
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3276
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2902
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License Number State | CO
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