Provider Demographics
NPI:1093972861
Name:MICHELLE L HOWELL OD INC
Entity Type:Organization
Organization Name:MICHELLE L HOWELL OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:513-791-3336
Mailing Address - Street 1:9030 MONTGOMERY RD
Mailing Address - Street 2:5
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7741
Mailing Address - Country:US
Mailing Address - Phone:513-791-3336
Mailing Address - Fax:859-534-1499
Practice Address - Street 1:9030 MONTGOMERY RD
Practice Address - Street 2:5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7741
Practice Address - Country:US
Practice Address - Phone:513-791-3336
Practice Address - Fax:859-534-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5043152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000180884OtherANTHEM