Individual provider Active NPI

Brent Paul Swartz, O.D.

  • Optometrist
  • Bellefontaine, OH
National Provider Identifier
1013070648
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4596 Issued in OH
Practice address
2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 593-1766
Fax
(937) 593-1557
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4596 OH Primary

Addresses

Primary practice location

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042

Mailing address

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-1766

Other identifiers 2

IdentifierTypeStateIssuer
5251050001OtherOHDMERC
0194856MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040908001134 OH Practitioner - Optometry 5294701710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Swartz Family Eyecare LLCGroup PAC ID 5597731018, 2 clinicians

Practice addresses (Care Compare)

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-1766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4596OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swartz Family Eyecare, LLC Optometrist CurrentSince Jun 22, 2004 Accepting new patients

Locations

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 593-1766

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1013070648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-1766",
            "fax_number": "937-593-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-1766",
            "fax_number": "937-593-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "BRENT",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5251050001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.