Provider Demographics
NPI:1356373856
Name:TOWER, HELEN EDITH (OD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:EDITH
Last Name:TOWER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N WASHINGTON HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1625
Mailing Address - Country:US
Mailing Address - Phone:804-798-3306
Mailing Address - Fax:804-798-3617
Practice Address - Street 1:301 N WASHINGTON HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1625
Practice Address - Country:US
Practice Address - Phone:804-798-3306
Practice Address - Fax:804-798-3617
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3166152W00000X
VA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9231552Medicaid
VA9231552Medicaid