Individual provider Active NPI

E Michael Howlette

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1407019904
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000172 Issued in VA
Practice address
395A Spotsylvania Towne Centre
Fredericksburg, VA 22407-1124
Phone
(540) 786-2020
Fax
(540) 786-0609
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000172 VA Primary

Addresses

Primary practice location

395A Spotsylvania Towne Centre
Fredericksburg, VA 22407-1124

Mailing address

395A Spotsylvania Towne Centre
Fredericksburg, VA 22407-1124
Phone (540) 786-2020

Other identifiers 4

IdentifierTypeStateIssuer
332902OtherVAALLIANCE, MDIPA, UHC, MAMSI, OPTIMUM CHOICE
VA0727OtherVAEYEMED
263312OtherVAANTHEM
9203605MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000220 VA Practitioner - Optometry 5799859229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000172VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Eyecare LLC Optometrist PastSince Sep 24, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1407019904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395A SPOTSYLVANIA TOWNE CENTRE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071124",
            "telephone_number": "540-786-2020",
            "fax_number": "540-786-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395A SPOTSYLVANIA TOWNE CENTRE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071124",
            "telephone_number": "540-786-2020",
            "fax_number": "540-786-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWLETTE",
        "first_name": "E",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE, MDIPA, UHC, MAMSI, OPTIMUM CHOICE",
            "identifier": "332902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "VA0727",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "263312",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203605",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.