Active NPI
Christopher R Howard, O.D.
- Optometrist
- Crestview, FL
National Provider Identifier
1629108709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3124
- Practice address
- 1005 S Ferdon Blvd
Crestview, FL 32536-4509 - Phone
- (850) 682-1859
- Fax
- (850) 682-8674
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3124 | FL | Primary |
| Optometrist | 152W00000X | S866TA408 | AL |
Addresses
Primary practice location
1005 S Ferdon Blvd
Crestview, FL 32536-4509
Mailing address
1005 S Ferdon Blvd
Crestview, FL 32536-4509
Phone (850) 682-1859
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EB882A | Other | PTAN MEDICARE | |
| 20837 | Other | FL | BLUE CROSS BLUE SHIELD |
| 620311600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1005 S Ferdon Blvd
Crestview, FL 32536-4509
Phone (850) 682-1859
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S866TA408 | AL | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Crestview, FL
- NPI 1649449117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1629108709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325364509",
"telephone_number": "850-682-1859",
"fax_number": "850-682-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325364509",
"telephone_number": "850-682-1859",
"fax_number": "850-682-8674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3124",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S866TA408",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN MEDICARE",
"identifier": "EB882A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "20837",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620311600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.