Provider Demographics
NPI:1720018518
Name:HUGGLER, SCOTT A (OD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:HUGGLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 E LAWN RD
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-1213
Mailing Address - Country:US
Mailing Address - Phone:610-759-1635
Mailing Address - Fax:610-759-1899
Practice Address - Street 1:619 E LAWN RD
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-1213
Practice Address - Country:US
Practice Address - Phone:610-759-1635
Practice Address - Fax:610-759-1899
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000803152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00360794OtherRAILROAD MEDICARE
PAU29315Medicare UPIN
PA714805PLLMedicare PIN
PA714805VTDMedicare PIN