Provider Demographics
NPI:1225110042
Name:STARR, HOWARD RALPH (DISPENSING OPTICIAN)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:RALPH
Last Name:STARR
Suffix:
Gender:M
Credentials:DISPENSING OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 NEW BOSTON ROAD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-673-3712
Mailing Address - Fax:508-673-3712
Practice Address - Street 1:235 NEW BOSTON ROAD FALL RIVER MASS
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-673-3712
Practice Address - Fax:508-673-3712
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4293156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1537393Medicaid
0143590001Medicare ID - Type Unspecified