Physician Compare National (NPI:1629006838)

HEALTHCARE PROVIDER: BRYAN ROBERT HUFF OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629006838
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537345848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110524000482
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUFF
	Individual professional last name
Provider First Name	BRYAN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	887 E WALNUT ST
	Group Practice or individual's line 1 address
City	RAYMORE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	640838100
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y