Provider Demographics
NPI:1477560647
Name:NEWMAN, HOWARD S (OD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:S
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:4375 MOTORWAY DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3451
Mailing Address - Country:US
Mailing Address - Phone:248-683-2389
Mailing Address - Fax:
Practice Address - Street 1:2177 COLUMBIA AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2847
Practice Address - Country:US
Practice Address - Phone:269-968-1600
Practice Address - Fax:269-968-1630
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist