Individual
MR. CHARLES KIRK HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2491 S FERDON BLVD, CRESTVIEW, FL 32536-8463
(850) 682-4014
(850) 682-0387
Mailing address
2491 S FERDON BLVD, CRESTVIEW, FL 32536-8463
(850) 682-4014
(850) 682-0387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0001157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19395
BCBS
FL
Enumeration date
06/08/2005
Last updated
03/27/2008
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