Individual
DR. MICHAEL THOMAS BYWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
216 ROUTE 299, SUITE 4, HIGHLAND, NY 12528-7517
(845) 691-8890
(845) 834-3224
Mailing address
216 ROUTE 299, SUITE 4, HIGHLAND, NY 12528-7517
(845) 691-8890
(845) 834-3224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV4980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745788
—
NY
Enumeration date
03/14/2006
Last updated
12/15/2010
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