Organization
EYE SITE OF CRESTIVEW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R HOWARD O.D. (OWNER / PRESIDENT)
(850) 682-1859
Entity
Organization
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
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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