Individual provider Active NPI

Rhonda Swanson, O.D.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1093713828
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003830 Issued in WA
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

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0156SWOtherWAASURIS(REGENCE NW HEALTH)
A032OtherWATRICARE
2029221MedicaidWA
0185489OtherWALABOR AND INDUSTRIES
28261OtherWAGROUP HEALTH
WA0690OtherWANORTHWEST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Rhonda Swanson Optometrist CurrentSince Dec 1, 2014 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.

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

Verify at the official NPI Registry.