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NPI Code Detail

MEDICARE: JULIE MARIE KIRCHBERGER-HOWARD O.D.

MEDICARE:   JULIE MARIE KIRCHBERGER-HOWARD  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTUV005386NY

General Provider Information

NPI Number : 1316904303
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE KIRCHBERGER-HOWARD O.D.
Provider Business Mailing Address
First Line : 4 KINGSVIEW CT
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-1760
Country : US
Telephone Number : 716-689-9015
Fax Number :
Provider Business Practice Location Address
First Line : 444 PAYNE AVE
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-6902
Country : US
Telephone Number : 716-693-1280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/08/2007

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Directions to “ JULIE MARIE KIRCHBERGER-HOWARD O.D.” Practice Location

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