Healthcare Provider Details

I. General information

NPI: 1548353303
Provider Name (Legal Business Name): MICHAEL STEVEN HOVANDER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 37
FERNDALE WA
98248-0037
US

IV. Provider business mailing address

PO BOX 37
FERNDALE WA
98248-0037
US

V. Phone/Fax

Practice location:
  • Phone: 360-384-1463
  • Fax: 360-384-0415
Mailing address:
  • Phone: 360-384-1463
  • Fax: 360-384-0415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOL1488 TX
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: