Provider Demographics
NPI:1679612998
Name:HOWE, CHADWICK EDWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:CHADWICK
Middle Name:EDWARD
Last Name:HOWE
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 1:10401 ALMANAC LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1562
Mailing Address - Country:US
Mailing Address - Phone:865-584-7739
Mailing Address - Fax:
Practice Address - Street 1:4620 KINGSTON PIKE
Practice Address - Street 2:SPEX EYEWEAR
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5230
Practice Address - Country:US
Practice Address - Phone:865-584-7739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN2269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4026716OtherBCBS OF TN
TN103I963058Medicare PIN