Provider Demographics
NPI:1427175611
Name:WARD, HOWARD JEFFRIES (OD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:JEFFRIES
Last Name:WARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:JEFF
Other - Middle Name:
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:9370 S COLORADO BLVD
Practice Address - Street 2:UNIT A4
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5206
Practice Address - Country:US
Practice Address - Phone:303-471-9300
Practice Address - Fax:303-471-9200
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2258152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU97936Medicare UPIN