Boone Trail Optometric Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1062 Issued in NC

Legal business name

BOONE TRAIL OPTOMETRIC EYE CARE, PLLC

Practice address

48 Boone TRL
North Wilkesboro, NC 28659-3515

Phone

(336) 667-3288

Fax

(336) 838-1092

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Love Swaringen, O.D.NPI 1396841813

Title

Owner

Phone

(336) 667-3288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Love Swaringen, O.D.

  • Optometrist
  • North Wilkesboro, NC
  • NPI 1396841813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1083850606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593515",
            "telephone_number": "336-667-3288",
            "fax_number": "336-838-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593515",
            "telephone_number": "336-667-3288",
            "fax_number": "336-838-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE TRAIL OPTOMETRIC EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "SWARINGEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-667-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elizabeth Bishop, DPT
• Jennifer Lynn Bivin, MSN, ARNP-C
• Rebecca Lynn Blankenship
• Blue Ridge Chiropractic Care PLLC
• Michelle W. Bolick, RN
• Mira Boone, MD
• Tracy Bottomley, PHARMD.
• Karolen C Bowman, M.D.
• Bradford C Shinaman DDS PA
• Phillip Marvin Brame Sr., DDS MS BOARD CERTIFI

• Optometrist in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.