Provider Demographics
NPI:1437892957
Name:MARSHA HOWARD OPTOMETRIC CORP
Entity Type:Organization
Organization Name:MARSHA HOWARD OPTOMETRIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-843-7616
Mailing Address - Street 1:2200 E WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-2132
Mailing Address - Country:US
Mailing Address - Phone:562-427-8285
Mailing Address - Fax:661-335-7766
Practice Address - Street 1:2200 E WILLOW ST
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-2132
Practice Address - Country:US
Practice Address - Phone:562-427-8285
Practice Address - Fax:661-335-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty