MEDICARE: MELISSA HOWSE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC6210	FL

General Provider Information

NPI Number	:	1952009045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA HOWSE OD

Provider Business Mailing Address
First Line	:	706 W STATE ROAD 436
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 W STATE ROAD 436
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3048
Country	:	US
Telephone Number	:	407-774-1318
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	03/21/2023

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