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Contact Information

JORGE D HUSTON, OD
522 FINNEY FLAT RD
STE K
CAMP VERDE, AZ86322
 Phone: 928-567-3330
 Fax: 928-567-3359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JORGE D HUSTON · (Male)

NPI # 1023073384
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/19/2006
Last updated 12/28/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 110
  • AZ License # OPT-000110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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