Provider Demographics
NPI:1962611483
Name:HUFFER, SCOTT DOUGLAS (OD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DOUGLAS
Last Name:HUFFER
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 1:505 W HOLLIS ST STE 109
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1386
Mailing Address - Country:US
Mailing Address - Phone:603-882-0311
Mailing Address - Fax:603-417-2982
Practice Address - Street 1:505 W HOLLIS ST STE 109
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1386
Practice Address - Country:US
Practice Address - Phone:603-882-0311
Practice Address - Fax:603-417-2982
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0796152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020530670OtherMARTINS POINT
NH30356544Medicaid
NH020530670OtherAETNA
NH1616990OtherCNN/COVENTRY
NH1962611483OtherMVP
NH020530670OtherUNITED HEALTHCARE
NH020530670OtherPHCS/MULTIPLAN
NH09Y013024NH01OtherBC/BS NH
NH020530670OtherTRICARE
NH020530670OtherPHCS/MULTIPLAN