Individual
DR. DAVID E HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2101 S HIGHWAY 77, VISION CENTER, LYNN HAVEN, FL 32444-4631
(850) 271-3004
(850) 265-2607
Mailing address
PO BOX 2112, LYNN HAVEN, FL 32444-8112
(850) 419-3559
(850) 265-2607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621164000
—
FL
Enumeration date
02/28/2007
Last updated
09/09/2019
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