Provider Demographics
NPI:1386842656
Name:MARILYN J. HUHEEY
Entity Type:Organization
Organization Name:MARILYN J. HUHEEY
Other - Org Name:MARILYN J HUHEEY MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUHEEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-488-8836
Mailing Address - Street 1:1335 DUBLIN RD.
Mailing Address - Street 2:#25A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1000
Mailing Address - Country:US
Mailing Address - Phone:614-488-8836
Mailing Address - Fax:614-488-8339
Practice Address - Street 1:1335 DUBLIN RD
Practice Address - Street 2:#25A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1000
Practice Address - Country:US
Practice Address - Phone:614-488-8836
Practice Address - Fax:614-488-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-033212174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2958189Medicaid
OH2958189Medicaid
OHC00972Medicare UPIN