Active NPI
Rhonda Swanson, O.D.
- Optometrist
- Bellingham, WA
National Provider Identifier
1093713828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003830
- Practice address
- 4420 Meridian St
Kulshan Eye Care
Bellingham, WA 98226-8087 - Phone
- (360) 647-0212
- Fax
- (360) 647-2212
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- 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 | OD00003830 | WA | Primary |
Addresses
Primary practice location
4420 Meridian St
Kulshan Eye Care
Bellingham, WA 98226-8087
Mailing address
3015 Mossop Dr
Bellingham, WA 98229-4105
Phone (206) 617-2845
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156SW | Other | WA | ASURIS(REGENCE NW HEALTH) |
| A032 | Other | WA | TRICARE |
| 2029221 | Medicaid | WA | |
| 0185489 | Other | WA | LABOR AND INDUSTRIES |
| 28261 | Other | WA | GROUP HEALTH |
| WA0690 | Other | WA | NORTHWEST BENEFIT NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150122001969 | WA | Practitioner - Optometry | 4587576046 | Practice locations: Bellingham, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4420 Meridian St
Bellingham, WA 98226-8087
Phone (360) 647-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhonda Swanson | Optometrist | Current | Accepting new patients |
Locations
4420 Meridian St
Bellingham, WA 98226
Phone (360) 647-0212
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
- Bellingham, WA
- NPI 1396194320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1093713828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 MOSSOP DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982294105",
"telephone_number": "206-617-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 MERIDIAN ST",
"address_2": "KULSHAN EYE CARE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268087",
"telephone_number": "360-647-0212",
"fax_number": "360-647-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "RHONDA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS(REGENCE NW HEALTH)",
"identifier": "0156SW",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A032",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029221",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0185489",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "28261",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWEST BENEFIT NETWORK",
"identifier": "WA0690",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.