Mickenzie Michael Howard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0004236 Issued in CO

Practice address

1820 S College Ave Ste B
Fort Collins, CO 80525-1423

Phone

(970) 493-6360

Fax

(970) 493-0286

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Poudre Valley Eyecare LLC

  • Optometrist
  • Fort Collins, CO
  • NPI 1699259143
  NPD

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1699696260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251423",
            "telephone_number": "970-493-6360",
            "fax_number": "970-493-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251423",
            "telephone_number": "970-493-6360",
            "fax_number": "970-493-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MICKENZIE",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Housing Catalyst
• Emily Houska
• Kristine M Housley, PA-C
• Larry J Housley, OD
• Debbie Hovey, MS, CCC/SLP
• Paula Howard, NP
• Samantha Howard
• Shannon Howard
• Jessica Howe, RN
• Gerald Howell

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.