Provider Demographics
NPI:1669573242
Name:TOWLES-SCHWEN, MICHAEL THOMAS (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:THOMAS
Last Name:TOWLES-SCHWEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 MAYNARD DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3365
Mailing Address - Country:US
Mailing Address - Phone:716-833-9567
Mailing Address - Fax:
Practice Address - Street 1:2055 NIAGARA FALLS BLVD
Practice Address - Street 2:VISION CENTER
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-3518
Practice Address - Country:US
Practice Address - Phone:716-691-1192
Practice Address - Fax:716-691-2194
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006505-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist