Provider Demographics
NPI:1245001593
Name:DR. KEVIN HUFF & ASSOCIATES PLLC
Entity type:Organization
Organization Name:DR. KEVIN HUFF & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-482-1200
Mailing Address - Street 1:5321 E GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1125
Mailing Address - Country:US
Mailing Address - Phone:602-705-4833
Mailing Address - Fax:
Practice Address - Street 1:2450 E BEARDSLEY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-1300
Practice Address - Country:US
Practice Address - Phone:602-482-1200
Practice Address - Fax:602-482-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty