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Organization
KIRK HOWARD OD PA
Active
Organization
KIRK HOWARD OD PA
Active
Other names
Family Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KIRK HOWARD OD (OWNER)
(850) 682-4014
Entity
Organization
Contact information
Practice address
2491 S FERDON BLVD, CRESTVIEW, FL 32536
(850) 682-4014
(850) 682-0387
Mailing address
2491 S FERDON BLVD, CRESTVIEW, FL 32536
(850) 682-4014
(850) 682-0387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21836
BCBS
—
Enumeration date
11/17/2006
Last updated
03/27/2008
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