Provider Demographics
NPI:1104137694
Name:HUFF, THOMAS MICHEAL (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHEAL
Last Name:HUFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:719 CARSON ST
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-4703
Mailing Address - Country:US
Mailing Address - Phone:719-298-1393
Mailing Address - Fax:423-638-7687
Practice Address - Street 1:3333 CLARK ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2050
Practice Address - Country:US
Practice Address - Phone:719-992-2121
Practice Address - Fax:719-993-0155
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT002584152W00000X
TN3276152W00000X
CO2902152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist