Healthcare Provider Details

I. General information

NPI: 1093972861
Provider Name (Legal Business Name): MICHELLE L HOWELL OD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 MONTGOMERY RD 5
CINCINNATI OH
45242-7741
US

IV. Provider business mailing address

9030 MONTGOMERY RD 5
CINCINNATI OH
45242-7741
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-3336
  • Fax: 859-534-1499
Mailing address:
  • Phone: 513-791-3336
  • Fax: 859-534-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5043
License Number StateOH

VIII. Authorized Official

Name: DR. MICHELLE LEE HOWELL
Title or Position: PRESIDENT
Credential: OD
Phone: 513-791-3336