Family Vision Center

LBN: Kirk Howard Od Pa
Family Vision Center is an health care organization with primary practice located at 2491 S Ferdon Blvd , Crestview FL 32536. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kirk Howard Od Pa can be contacted via phone (850) 682-4014, or through Howard, Charles Kirk via phone (850) 682-4014.

Contact Information

Primary practice address
2491 S Ferdon Blvd Crestview FL 32536
Fax: (850) 682-0387
Website:
Authorized official contact:
Name: Howard, Charles Kirk Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1114090875
LBN Legal business name Kirk Howard Od Pa
DBA Doing business as Family Vision Center
Authorized official Howard, Charles Kirk Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114090875 NPPES
Other 21836 BCBS

Popular Providers