T M Swinger & D V McKillip, PTR

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02167 Issued in MO

Legal business name

T M SWINGER & D V MCKILLIP, PTR

Practice address

306 King Ave
Portageville, MO 63873-1441

Phone

(573) 379-5235

NPI assigned

Jan 9, 2008

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickie L Hurley

Title

Office Manager

Phone

(573) 379-5235

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1043495062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 KING AVE",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731441",
            "telephone_number": "573-379-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 KING AVE",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731441",
            "telephone_number": "573-379-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T M SWINGER & D V MCKILLIP, PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-379-5235"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC MEDICARE",
            "identifier": "0279400002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410027250",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310150404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald D Rone III, PHARM D
• Mary Samples
• Audrey H Shelly, PHARMD
• Southeast Missouri Health Network (Portageville Family Clinic)
• Amy Kellams Stinnett, FNP
• Zarria Joi Taylor
• Abby Dawn Treece
• Tri-County Community Individualized Supported Living, LLC
• Lorna A Turnage, NP
• Bryce Alexander Wallace, PHARMD

• Optometrist in Portageville, MO
• Providers in Portageville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.