SWAN OPTOMETRY SERVICES, PC (NPI# 1124338736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124338736 |
| Entity Type | Organization |
| Organization Name | SWAN OPTOMETRY SERVICES, PC |
| Other Organization Name | IN FOCUS EYECARE OF ROCKFORD |
| Practice Address |
25 N Main St Rockford MI 49341-1281 |
| Practice Telephone | 6168663077 |
| Practice Fax Number | 6168664408 |
| Mailing Telephone | 6168663077 |
| Mailing Fax Number | 6168664408 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | MARK SWAN (OWNER) |
| Authorized Official Telephone | 6168663077 |
| Authorized Official Credential | OD, MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901003186 | MI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 4901003186 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VSP | 999998001 | 01 |
| MI | 4401840 | 05 | |
| MI | PRIORITY HEALTH | 900006367 | 01 |
| MI | BLUE CROSS | M5003186 | 01 |
| Other Name | Type Code |
|---|---|
| In Focus Eyecare of Rockford | Doing Business As Name - Organization |
| Street Address |
25 N MAIN ST |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263711 | Justin Champion Ullrey | Optometrist | 25 N Main St, Rockford, MI 49341-1281 | 2019-06-05 |
| 1760680144 | Rockford Vision Services, Inc. | Prosthetic/Orthotic Supplier | 25 N Main St, Rockford, MI 49341-1281 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749548 | Manpreet Kaur Dhaliwal | Optometrist | 6055 E State St Ste D01a, Rockford, IL 61108-2512 | 2019-09-14 |
| 1396399804 | Freedom Vision Centers LLC | Optometrist | 6150 E State St Ste 130, Rockford, IL 61108-2524 | 2019-08-01 |
| 1679127021 | Rosalba Ramirez | Optometrist | 5915 E Riverside Blvd, Rockford, IL 61114-4935 | 2019-07-24 |
| 1295214435 | Neil Patel | Optometrist | 7200 Harrison Ave Unit F35, Rockford, IL 61112-3014 | 2018-08-08 |
| 1568839231 | Irina Rutkowski | Optometrist | 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 | 2015-08-28 |
| 1053603837 | Hina N Patel | Optometrist | 4777 E State St # 6, Rockford, IL 61108-8802 | 2011-05-11 |
| 1114237435 | Erica L Touhill-watson | Optometrist | 6790 Cannon Farms Dr Ne, Rockford, MI 49341-7720 | 2010-10-20 |
| 1952615684 | Aman Jalota | Optometrist | 6430 E State St, Rockford, IL 61108-2529 | 2010-08-05 |
| 1821248287 | Michael S. Feldt, O.d., Ltd. | Optometrist | 1640 Broadway, Rockford, IL 61104-6000 | 2008-09-23 |
| 1316107568 | Wight Optometric PC | Optometrist | 1975 Pawlisch Dr, Rockford, IL 61112-1069 | 2008-06-11 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.