Provider Demographics
NPI:1467577270
Name:HOWARD, TODD D (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 BROAD ST
Mailing Address - Street 2:P.O. BOX 1196
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-1196
Mailing Address - Country:US
Mailing Address - Phone:540-674-8606
Mailing Address - Fax:
Practice Address - Street 1:232 BROAD ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:VA
Practice Address - Zip Code:24084-1196
Practice Address - Country:US
Practice Address - Phone:540-674-8606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101-002265156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician