Ricky Dean Swearingen, OD OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

74 Issued in AK

Practice address

351 Carlanna Lake Road
Ketchikan, AK 99901

Phone

(907) 225-2020

Fax

(907) 247-2015

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1976

Medicare assignment

May accept Medicare assignment

Group practices

Ketchikan Eye Care Center, L.L.C.Group PAC ID 2062302532, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ketchikan Eye Care Center, L.L.C.

  • Optometrist
  • Ketchikan, AK
  • NPI 1255483970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245382969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 CARLANNA LAKE ROAD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-2020",
            "fax_number": "907-247-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CARLANNA LAKE ROAD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-2020",
            "fax_number": "907-247-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "RICKY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0074",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Dennis Sullivan, LCSW
• Summit Health North LLC
• Houston Sumrall
• John David Sundeen, MA
• Sundeen3 Counseling
• Margaret M Sweetman, P.T.
• Tabb Clinical & Consulting Services, LLC
• Jordan Tabb, LCSW
• Jessica Tacker
• Judith Tacker

• Optometrist in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.