Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 5001 | MA |
N | 152W00000X | Optometrist | 6261 | OH |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 5001 | MA |
NPI | 1003244708 |
---|---|
Provider Name | Dr. Matthew Howell |
First Address | Ballwin, MO 63011-2172 |
Second Address | Cincinnati, OH 45255-4708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2013 |
Last Update Date | 11/08/2016 |