Healthcare Provider Details

I. General information

NPI: 1164560439
Provider Name (Legal Business Name): HOLLY DOW SWARTZ OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HOLLY DOW BROWN

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 S CEDAR ST
MASON MI
48854-2081
US

IV. Provider business mailing address

1103 S CEDAR ST SUITE 200
MASON MI
48854-2081
US

V. Phone/Fax

Practice location:
  • Phone: 517-676-9350
  • Fax: 517-676-8040
Mailing address:
  • Phone: 517-676-9350
  • Fax: 517-676-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901003998
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: