=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235969072
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOWARD HO OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2024
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40520 COUNTY HIGHWAY 34
-----------------------------------------------------
City | OGEMA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56569-9612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-983-4300
-----------------------------------------------------
Fax | 218-983-6396
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 40520 COUNTY HIGHWAY 34
-----------------------------------------------------
City | OGEMA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56569-9612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-983-4300
-----------------------------------------------------
Fax | 218-983-6396
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 1214
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 010020
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------