Individual
DR. CHRISTOPHER R HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1005 S FERDON BLVD, CRESTVIEW, FL 32536-4509
(850) 682-1859
(850) 682-8674
Mailing address
1005 S FERDON BLVD, CRESTVIEW, FL 32536-4509
(850) 682-1859
(850) 682-8674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3124
FL
152W00000X
Optometrist
S866TA408
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20837
BLUE CROSS BLUE SHIELD
FL
05
—
620311600
—
FL
01
—
EB882A
PTAN MEDICARE
—
Enumeration date
03/06/2007
Last updated
03/27/2015
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