Elisabeth S Swan Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA9676T Issued in CA

Legal business name

ELISABETH S SWAN OPTOMETRY INC

Practice address

4335 Hazel Ave
Fair Oaks, CA 95628-6669

Phone

(916) 966-6080

Fax

(916) 966-6919

NPI assigned

Jan 18, 2009

Last updated

Nov 15, 2010By 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

Dr. Elisabeth Sarah Swan, O.D.NPI 1356331938

Title

Owner

Phone

(916) 966-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisabeth Sarah Swan, O.D.

  • Optometrist
  • Fair Oaks, CA
  • NPI 1356331938
  Authorized official Same address or phone

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1215174867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 HAZEL AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286669",
            "telephone_number": "916-966-6080",
            "fax_number": "916-966-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 HAZEL AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286669",
            "telephone_number": "916-966-6080",
            "fax_number": "916-966-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH S SWAN OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-18",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-966-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9676T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "DN431A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Grace Dwyer, PPS
• Daniil Dychok Sr.
• Candace Marie Edwards
• Chukwuemeka N Ekwuru, RN
• Shanika Tanae Elebeck
• Julissa Elizondo
• Elaine Amanda Ellers, LCSW
• Ellie Zacks, PHD Clinical Psychologist, Apc
• Elliott Eisenbud, MD Inc.
• Nancy Ellis-Cawley, L.C.S.W.

• Optometrist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.