Provider Demographics
NPI:1366436800
Name:HUFF, ASHLEY IRENE (OD)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:IRENE
Last Name:HUFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:IRENE
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2113 ROCKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6326
Mailing Address - Country:US
Mailing Address - Phone:469-226-6981
Mailing Address - Fax:
Practice Address - Street 1:3034 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3732
Practice Address - Country:US
Practice Address - Phone:972-278-2121
Practice Address - Fax:972-926-1573
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6770T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81434QOtherBCBS
V07311Medicare UPIN
TX81434QOtherBCBS