Provider Demographics
NPI:1588625602
Name:SLEEPER, HOWARD A (OD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:SLEEPER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MONUMENT SQUARE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426
Mailing Address - Country:US
Mailing Address - Phone:207-564-2020
Mailing Address - Fax:207-564-2023
Practice Address - Street 1:5 MONUMENT SQUARE LN
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426
Practice Address - Country:US
Practice Address - Phone:207-564-2020
Practice Address - Fax:207-564-2023
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT574152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMNT569OtherHARVARD PILGRIM
005059OtherANTHEM
T79605Medicare UPIN
MEHA709549Medicare ID - Type Unspecified