Healthcare Provider Details

I. General information

NPI: 1437124989
Provider Name (Legal Business Name): VERA MARIE HOWE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 1ST AVE NE
CEDAR RAPIDS IA
52402-4856
US

IV. Provider business mailing address

2740 1ST AVE NE
CEDAR RAPIDS IA
52402-4856
US

V. Phone/Fax

Practice location:
  • Phone: 319-866-9190
  • Fax: 319-866-9192
Mailing address:
  • Phone: 319-866-9190
  • Fax: 319-866-9192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number152-02193
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: