Provider Demographics
NPI:1386990372
Name:HOWARD, EILEEN LIBBY (OD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:LIBBY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3578
Mailing Address - Country:US
Mailing Address - Phone:607-753-7528
Mailing Address - Fax:
Practice Address - Street 1:1160 TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3578
Practice Address - Country:US
Practice Address - Phone:607-753-7528
Practice Address - Fax:607-756-8163
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007900-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist