Provider Demographics
NPI:1386263713
Name:HUGGINS, JAMES ROSS (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROSS
Last Name:HUGGINS
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 1:113 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1343
Mailing Address - Country:US
Mailing Address - Phone:919-894-7579
Mailing Address - Fax:919-894-4674
Practice Address - Street 1:113 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1343
Practice Address - Country:US
Practice Address - Phone:919-894-7579
Practice Address - Fax:919-894-4674
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2167152W00000X
NC2663152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist