Provider Demographics
NPI:1861532665
Name:HOWARD, MARSHA LUCILLE (OD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:LUCILLE
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 1:2200 E WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-2132
Mailing Address - Country:US
Mailing Address - Phone:562-427-8285
Mailing Address - Fax:562-427-1425
Practice Address - Street 1:2200 E WILLOW ST
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-2132
Practice Address - Country:US
Practice Address - Phone:562-427-8285
Practice Address - Fax:562-427-1425
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10132T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist