Provider Demographics
NPI:1437113230
Name:HOWE, CONSTANCE (OD)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:
Last Name:HOWE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:
Other - Last Name:PIRANIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2539 MARVIN RD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516
Mailing Address - Country:US
Mailing Address - Phone:360-459-3333
Mailing Address - Fax:360-459-2724
Practice Address - Street 1:2539 MARVIN RD NE
Practice Address - Street 2:SUITE B
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516
Practice Address - Country:US
Practice Address - Phone:360-459-3333
Practice Address - Fax:360-459-2724
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003048152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2015592Medicaid
PI4528OtherBLUE SHIELD
WA912174298OtherBLUE CROSS
WAP00352365OtherRAILROADMEDICARE
WAGAB26489Medicare PIN
WA2015592Medicaid