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
—
—
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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