Provider Demographics
NPI:1053603688
Name:HUFFMAN, KASEY J (OD)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:J
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:125 W NEW ENGLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3537
Mailing Address - Country:US
Mailing Address - Phone:614-505-1307
Mailing Address - Fax:614-863-5010
Practice Address - Street 1:50 MCNAUGHTEN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2120
Practice Address - Country:US
Practice Address - Phone:614-863-3937
Practice Address - Fax:614-863-5010
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5113 T2012152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist