Kirk Howard Od Pa in Crestview - Optometrist
Kirk Howard Od Pa - NPI 1114090875
Kirk Howard Od Pa is a Optometrist in Crestview, Florida. Kirk Howard Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kirk Howard Od Pa is 1114090875. The last update date is 2008-03-27.
Kirk Howard Od Pa's current location address is 2491 S Ferdon Blvd, Crestview, Florida. You can contact this provider via phone number 8506824014 and fax number 8506820387. The mailing address for Kirk Howard Od Pa is 2491 S Ferdon Blvd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kirk Howard Od Pa |
|---|---|
| Address | 2491 S Ferdon Blvd, Crestview, Florida |
| Phone Number | 8506824014 |
| Fax Number | 8506820387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Howard Kirk Charles |
| Credentials | OD |
| Telephone Number | 8506824014 |
NPI Number Detail
| NPI Number | 1114090875 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 2491 S Ferdon Blvd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 32536 |
| Phone Number | 8506824014 |
| Fax Number | 8506820387 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21836 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kirk Howard Od Pa by the Centers for Medicare & Medicaid Services?
The Kirk Howard Od Pa has been issued the NPI (National Provider Identifier) 1114090875 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kirk Howard Od Pa's facilities are geographically located?
The facilities of Kirk Howard Od Pa are physically situated at the following location: 2491 S Ferdon Blvd, Crestview, FL, 32536.
What is Kirk Howard Od Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirk Howard Od Pa is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114090875 to Kirk Howard Od Pa?
The Centers for Medicare & Medicaid Services assigned the 1114090875 to Kirk Howard Od Pa on 2006-11-17.
As of what date was the information pertaining to Kirk Howard Od Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kirk Howard Od Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-27.
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