Provider Demographics
NPI:1437261997
Name:HOWARD, JULIE B (OD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:B
Last Name:HOWARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 N LECANTO HWY
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-9191
Mailing Address - Country:US
Mailing Address - Phone:352-746-2246
Mailing Address - Fax:352-746-2807
Practice Address - Street 1:240 N LECANTO HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9191
Practice Address - Country:US
Practice Address - Phone:352-746-2246
Practice Address - Fax:352-746-2807
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP1974152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19813OtherBCBS
P00058854OtherRAILROAD MEDICARE
19813ZMedicare PIN
P00058854OtherRAILROAD MEDICARE
FL19813OtherBCBS