Organization Active NPI

Matthew Swanic M D PLLC

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1003251950
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13823 Issued in NV
Legal business name
MATTHEW SWANIC M D PLLC
Practice address
9555 S Eastern Ave Ste 250
Las Vegas, NV 89123-8008
Phone
(702) 769-4643
Fax
(702) 736-9334
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Matthew John Swanic, M DNPI 1659496909
Title
Owner
Phone
(702) 816-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 13823 NV Primary

Addresses

Primary practice location

9555 S Eastern Ave Ste 250
Las Vegas, NV 89123-8008

Mailing address

9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008
Phone (702) 816-2525

Other names 1

  • Las Vegas Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131210000342 NV Part B Supplier - Clinic/Group Practice 6204079510 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

10521 Jeffreys St
Ste 101
Henderson, NV 89052
Phone (702) 816-2525

9555 S Eastern Ave
Ste 250
Las Vegas, NV 89123
Phone (702) 769-4643

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1003251950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-816-2525",
            "fax_number": "702-586-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-769-4643",
            "fax_number": "702-736-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SWANIC M D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SWANIC",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-816-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.