Active NPI
Brian Charles Swift, O.D.
- Optometrist
- Lebanon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003106B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18003106B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Vision, LLC | Optometrist | Current | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Current | Accepting new patients |
| Dan Wendorff OD PC | Current | Accepting new patients | |
| Wisconsin Vision, Inc | Optometrist | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.