Provider Demographics
NPI:1457719239
Name:HUFFORD VISION & EYE CARE, PC
Entity Type:Organization
Organization Name:HUFFORD VISION & EYE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:231-582-9933
Mailing Address - Street 1:225 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-1202
Mailing Address - Country:US
Mailing Address - Phone:231-582-9933
Mailing Address - Fax:231-582-1155
Practice Address - Street 1:560 WEST MITCHELL
Practice Address - Street 2:SUITE 214
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770
Practice Address - Country:US
Practice Address - Phone:231-582-9933
Practice Address - Fax:231-582-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003206152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI942809340Medicaid
MI942809340Medicaid