Howell, Marvin Anthony
Howell, Marvin Anthony is an sole proprietor health care provider with primary practice located at 4101 Roswell Rd Suite 905, Marietta GA 30062-6293. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Howell, Marvin Anthony can be contacted via phone (770) 565-3970.Contact Information
Primary practice address
4101 Roswell Rd Suite 905
Marietta GA 30062-6293
Phone: (770) 565-3970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002629 | Georgia |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPT002629 | Georgia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT002629 | Georgia |
Profile Details
| NPI number | 1164685947 |
|---|---|
| LBN Legal business name | Howell, Marvin Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Nov 17th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164685947 | NPPES |
| Georgia | MEDICAID | 003125145C |
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