MEDICARE: DR. MICHAEL THOMAS TOWLES-SCHWEN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV006505-1	NY

General Provider Information

NPI Number	:	1669573242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL THOMAS TOWLES-SCHWEN O.D.

Provider Business Mailing Address
First Line	:	93 MAYNARD DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-3365
Country	:	US
Telephone Number	:	716-833-9567
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 NIAGARA FALLS BLVD
Second Line	:	VISION CENTER
City	:	AMHERST
State	:	NY
Zip	:	14228-3518
Country	:	US
Telephone Number	:	716-691-1192
Fax Number	:	716-691-2194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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