Provider Demographics
NPI:1720112451
Name:ANGELA C. HOWELL, O.D., P.A
Entity Type:Organization
Organization Name:ANGELA C. HOWELL, O.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-215-0288
Mailing Address - Street 1:1515 W KINGSHIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4010
Mailing Address - Country:US
Mailing Address - Phone:870-215-0000
Mailing Address - Fax:870-215-0288
Practice Address - Street 1:1515 W KINGS HWY # 2
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4010
Practice Address - Country:US
Practice Address - Phone:870-215-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2384152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR140020722Medicaid
AR48148Medicare PIN
AR5C364Medicare PIN
ARU05683Medicare UPIN