Provider Demographics
NPI:1699525444
Name:HUCK, BETH ANNE (ABOC)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANNE
Last Name:HUCK
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-2002
Mailing Address - Country:US
Mailing Address - Phone:484-705-9507
Mailing Address - Fax:
Practice Address - Street 1:5900 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3635
Practice Address - Country:US
Practice Address - Phone:610-582-5570
Practice Address - Fax:610-582-8622
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA256104156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician