Provider Demographics
NPI:1235153834
Name:HUFFMAN, SARA JO (OD, MS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:JO
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:OD, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-0793
Mailing Address - Fax:614-293-5602
Practice Address - Street 1:915 OLENTANGY RIVER RD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3153
Practice Address - Country:US
Practice Address - Phone:614-293-8116
Practice Address - Fax:614-293-3555
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH5626152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2963431Medicaid
OHHU4229972Medicare PIN