Individual provider Active NPI

Brian Charles Swift, O.D.

  • Optometrist
  • Lebanon, IN
National Provider Identifier
1003934118
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003106B Issued in IN
Practice address
2440 N Lebanon St
Lebanon, IN 46052-1100
Phone
(765) 482-3766
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003106B IN Primary

Addresses

Primary practice location

2440 N Lebanon St
Lebanon, IN 46052-1100

Mailing address

6955 Maryvale CT
Indianapolis, IN 46214-3637
Phone (317) 797-1754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000791 IN Practitioner - Optometry 9739351958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dan Wendorff OD PCGroup PAC ID 1456257898, 3 clinicians

Practice addresses (Care Compare)

8603 S Emerson Ave
Indianapolis, IN 46237-9851
Phone (317) 887-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003106BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Dan Wendorff OD PC CurrentSince Aug 20, 2024 Accepting new patients
Wisconsin Vision, Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Crosstown Eyecare LLC Optometrist Past Accepting new patients

Locations

3972 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-1998

2320 S Tibbs Ave
Indianapolis, IN 46241
Phone (317) 241-2019

1551 E Stop 12 Rd
Indianapolis, IN 46227
Phone (317) 883-4970

8603 S Emerson Ave
Ste 105
Indianapolis, IN 46237
Phone (317) 887-2732

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1003934118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 MARYVALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143637",
            "telephone_number": "317-797-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521100",
            "telephone_number": "765-482-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003106B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.