Bywater, Michael Thomas
Bywater, Michael Thomas is an sole proprietor health care provider with primary practice located at 216 Route 299 Suite 4, Highland NY 12528-7517. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bywater, Michael Thomas can be contacted via phone (845) 691-8890.Contact Information
Primary practice address
216 Route 299 Suite 4
Highland NY 12528-7517
Phone: (845) 691-8890
Fax: (845) 834-3224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV4980 | New York |
Profile Details
| NPI number | 1669441747 |
|---|---|
| LBN Legal business name | Bywater, Michael Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 15th, 2010 - about 16 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 | 1669441747 | NPPES |
| New York | MEDICAID | 02745788 |
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