Healthcare Provider Details

I. General information

NPI: 1750481875
Provider Name (Legal Business Name): ANGELA HOWELL OD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 E HIGHLAND DR STE 609
JONESBORO AR
72401-6379
US

IV. Provider business mailing address

3708 ALABAMA RD
JONESBORO AR
72401-9706
US

V. Phone/Fax

Practice location:
  • Phone: 870-336-9090
  • Fax:
Mailing address:
  • Phone: 870-598-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2384
License Number StateAR

VIII. Authorized Official

Name: DR. ANGELA CAROL HOWELL
Title or Position: PRESIDENT
Credential: O,D.
Phone: 870-598-4002