Provider Demographics
NPI:1912959057
Name:E. MICHAEL HOWLETTE,OD AND ASSOC. P. C.
Entity Type:Organization
Organization Name:E. MICHAEL HOWLETTE,OD AND ASSOC. P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:E.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HOWLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-786-2020
Mailing Address - Street 1:395A SPOTSYLVANIA MALL
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-1124
Mailing Address - Country:US
Mailing Address - Phone:540-786-2020
Mailing Address - Fax:
Practice Address - Street 1:395A SPOTSYLVANIA MALL
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-1124
Practice Address - Country:US
Practice Address - Phone:540-786-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000172152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA332902OtherALLIANCE, MDIPA, MAMSI
VA263312OtherANTHEM
VA9203605Medicaid
VA9203605Medicaid