Provider Demographics
NPI:1932168218
Name:HOWIE, MATTHEW J (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:HOWIE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:241 SE DESTINATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-1248
Mailing Address - Country:US
Mailing Address - Phone:515-986-1234
Mailing Address - Fax:515-986-4813
Practice Address - Street 1:241 SE DESTINATION DR STE 100
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-1248
Practice Address - Country:US
Practice Address - Phone:515-986-1234
Practice Address - Fax:515-986-4813
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA05283Medicare ID - Type Unspecified