Active NPI
Nicole Lynn Swigart, OD
- Optometrist
- Delavan, WI
National Provider Identifier
1063746055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3321-35
- Practice address
- 1819 E Geneva St
Delavan, WI 53115-2037 - Phone
- (262) 740-7213
- Fax
- (262) 740-7226
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4491 | FL | |
| Optometrist | 152W00000X | 046-010529 | IL | |
| Optometrist | 152W00000X | 3321-35 | WI | Primary |
Addresses
Primary practice location
1819 E Geneva St
Delavan, WI 53115-2037
Mailing address
1819 E Geneva St
Delavan, WI 53115-2037
Phone (262) 740-7213
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC4491 | Other | FL | FLORIDA LICENSE |
| 3321-35 | Other | WI | OPTOMETRY LICENSE |
| 046-010529 | Other | IL | OPTOMETRY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4491 | FL | MD | Optometrist |
| 046-010529 | IL | MD | Optometrist |
| 3321-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Eye Clinic, SC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Delavan, WI
- NPI 1730370826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1063746055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 E GENEVA ST",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152037",
"telephone_number": "262-740-7213",
"fax_number": "262-740-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 E GENEVA ST",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152037",
"telephone_number": "262-740-7213",
"fax_number": "262-740-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIGART",
"first_name": "NICOLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4491",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-010529",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3321-35",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "OPC4491",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "3321-35",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "046-010529",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delavan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.