Provider Demographics
NPI:1659586410
Name:HOWARD, JAMES GARRISON (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GARRISON
Last Name:HOWARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 SADIFER BLVD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-2387
Mailing Address - Country:US
Mailing Address - Phone:864-888-3338
Mailing Address - Fax:864-885-9037
Practice Address - Street 1:1636 SANDIFER BLVD
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2387
Practice Address - Country:US
Practice Address - Phone:864-888-3338
Practice Address - Fax:864-885-9037
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC719152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist