Provider Demographics
NPI:1932193018
Name:AUSTIN, HOWARD M (OD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1 CITY BLVD W
Mailing Address - Street 2:SUITE #111
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3621
Mailing Address - Country:US
Mailing Address - Phone:714-634-0033
Mailing Address - Fax:714-634-2277
Practice Address - Street 1:1 CITY BLVD W
Practice Address - Street 2:SUITE #111
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3621
Practice Address - Country:US
Practice Address - Phone:714-634-0033
Practice Address - Fax:714-634-2277
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT4903152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA113367OtherEYEMED VISION INSURANCE
CASD0049030Medicaid
CA50106OtherSAFEGAURD VISION INSURANC
CA1282OtherSUPERIOR VISION INSURANCE
CA2289OtherMEDICAL EYE SERVICES
CA9353511OtherPRIVATE HEALTHCARE SYSTEM
CAAO07535OtherSPECTERA VISION INSURANCE
CAAUSTIN OPTOMETRYOtherUNITED HEALTHCARE