Provider Demographics
NPI:1952301533
Name:CHRISTMAN, HOWARD L (OD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:L
Last Name:CHRISTMAN
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 1:2515 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-4420
Mailing Address - Country:US
Mailing Address - Phone:308-234-3331
Mailing Address - Fax:308-234-1393
Practice Address - Street 1:2515 3RD AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-4420
Practice Address - Country:US
Practice Address - Phone:308-234-3331
Practice Address - Fax:308-234-1393
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE980152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE410046006OtherRAILROAD MEDICARE
NE0374480001Medicare NSC
NE087141Medicare PIN
NE410046006OtherRAILROAD MEDICARE