Christian J Howard, OD
Individual provider Active NPI Corneal and Contact Management Optometrist · Kane, PA
NPI 1043329196 · NPPES record last updated Jan 27, 2011
Key facts
- NPI
- 1043329196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- License
- OEG000844 (PA)
- Practice address
- 175 N Fraley St
Kane, PA 16735-1164 - Phone
- (814) 837-7880
- Fax
- (814) 837-0883
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111214000164 | PA | Practitioner - Optometry | 0648392134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000844 | PA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blake a Housler OD Inc | Current |
Accepting new patients |
Locations
175 N Fraley St
Kane, PA 16735
Phone (814) 837-7880
215 W Main St
Smethport, PA 16749
Phone (814) 837-7880
422 W Main St
Smethport, PA 16749
Phone (814) 837-7880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG000844 | PA | Yes |
Addresses
Primary practice location
175 N Fraley St
Kane, PA 16735-1164
Mailing address
175 N Fraley St
Kane, PA 16735-1164
Phone (814) 837-7880
Other providers in Kane, PA
- Libby Ann Herbstritt
- Karen Hickey
- Aaron Hinton
- Kelly Hosack
- Blake A Housler
- Miranda Lee Hoyt
- Jamil Sarfraz, MD
- Jennifer Moore, LCSW Counseling Services
- Kimberly Ann Johnson
- Tonia Lynn Johnson
All providers in Kane, PA · Corneal and Contact Management Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.