Provider Demographics
NPI:1760462287
Name:HOWE, COLIN JOSEPH (OD)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:JOSEPH
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 1:310 W LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2806
Mailing Address - Country:US
Mailing Address - Phone:563-324-2020
Mailing Address - Fax:563-323-0949
Practice Address - Street 1:310 W LOCUST ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2806
Practice Address - Country:US
Practice Address - Phone:563-324-2020
Practice Address - Fax:563-323-0949
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1846152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA37839OtherBCBS OF IOWA
IA3040352Medicaid
IA3040352Medicaid
IAT01430Medicare UPIN