Provider Demographics
NPI:1427081348
Name:HOWELL, MICHELLE LEE (OD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3970 TURKEYFOOT RD
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2840
Mailing Address - Country:US
Mailing Address - Phone:859-534-1498
Mailing Address - Fax:859-534-1499
Practice Address - Street 1:3970 TURKEYFOOT RD
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018
Practice Address - Country:US
Practice Address - Phone:859-534-1498
Practice Address - Fax:859-534-1499
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5043152W00000X
KY1457DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000180884OtherANTHEM
OH000000180884OtherANTHEM
KY1877901Medicare ID - Type Unspecified
OH311662319OtherEIN
OHU83740Medicare UPIN